Active NPI
Donna Charlene Crandell, M.D.
- Diagnostic Ultrasound Physician
- Russellville, AL
National Provider Identifier
1477583516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 5982
- Practice address
- 5682 Highway 73
Russellville, AL 35653-6387 - Phone
- (256) 332-7350
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 10863 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | 15749 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 06281 | MS | |
| Diagnostic Radiology Physician | 2085R0202X | 9456 | OK | |
| Diagnostic Ultrasound Physician | 2085U0001X | 5982 | TN | Primary |
Addresses
Primary practice location
5682 Highway 73
Russellville, AL 35653-6387
Mailing address
PO Box 639
Russellville, AL 35653-0639
Phone (256) 332-7350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35295 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10863 | AL | MD | Diagnostic Radiology Physician |
| 15749 | GA | MD | Diagnostic Radiology Physician |
| 9456 | OK | MD | Diagnostic Radiology Physician |
| 5982 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Associates of North Mississippi Magnolia PLLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Corinth, MS
- NPI 1578512919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1477583516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356530639",
"telephone_number": "256-332-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5682 HIGHWAY 73",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356536387",
"telephone_number": "256-332-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDELL",
"first_name": "DONNA",
"middle_name": "CHARLENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "10863",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "15749",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "06281",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "9456",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "TN",
"license": "5982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35295",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.