Individual provider Active NPI

Kevin Crawford, M.D.

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1467871715
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
007748 Issued in GA
Practice address
1364 Clifton Rd NE
Department of Radiology, Suite D125A
Atlanta, GA 30322-1059
Phone
(404) 712-4686
Fax
(404) 712-7908
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 007748 GA Primary

Addresses

Primary practice location

1364 Clifton Rd NE
Department of Radiology, Suite D125A
Atlanta, GA 30322-1059

Mailing address

1364 Clifton Rd NE
Department of Radiology, Suite D125A
Atlanta, GA 30322-1059
Phone (404) 712-4686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190718002076 GA Practitioner - Diagnostic Radiology 6608170071 Reassigns benefits to 3 organizations
I20210413001032 NC Practitioner - Diagnostic Radiology 6608170071 Reassigns benefits to 1 organization
I20210414002820 TN Practitioner - Diagnostic Radiology 6608170071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Interventional and Imaging Associates PLLCGroup PAC ID 4688897473, 33 clinicians

Practice addresses (Care Compare)

162 Legacy PT
Clayton, GA 30525-5354
Phone (423) 778-7234

3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (423) 778-7234

975 E 3Rd St
Box 376
Chattanooga, TN 37403-2147
Phone (423) 778-7234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
85.9
Improvement activities
40
Cost
72.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
007748GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Tennessee Interventional and Imaging Associates, PLLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2019 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

975 E 3rd St
#376
Chattanooga, TN 37403
Phone (423) 778-6216

Interoperability endpoints

  • Direct secure messaging: kcrawf52@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1467871715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "address_2": "DEPARTMENT OF RADIOLOGY, SUITE D125A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059",
            "telephone_number": "404-712-4686",
            "fax_number": "404-712-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "address_2": "DEPARTMENT OF RADIOLOGY, SUITE D125A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059",
            "telephone_number": "404-712-4686",
            "fax_number": "404-712-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "007748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.