Robert J Crouch III, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1553 Issued in TN

Practice address

141 Hillcrest Dr
Clarksville, TN 37043-5088

Phone

(931) 563-0738

Fax

(931) 552-0999

NPI assigned

Nov 21, 2006

Last updated

Jun 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthstar Medical Group PLLCGroup PAC ID 6800246810, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Brentwood, TN, CCN 447107
• Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/henders-823c208a
• Direct secure messaging: rcrouch@hmgp-tn.direct.office.nextgen.com
• Direct secure messaging: robert.crouch.p1@direct.toa.nextgenshare.com

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

• Healthstar Medical Group PLLC

  dba HealthStar Medical Group Clarksville

  • Urgent Care Clinic/Center
  • Clarksville, TN
  • NPI 1801675426
  Medicare reassignment Care Compare group
• Advanced Diagnostic Imaging, PC

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464
  Medicare reassignment NPD
• Lexington Clinic Corp

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1780652107

  Emergency Medicine

  Medicare reassignment NPD
• Shamrock Community Hospital Inc

  dba Shamrock Community Hospital Medical Group

  • Family Medicine Physician
  • Erin, TN
  • NPI 1033878277

  Emergency Medicine

  Medicare reassignment NPD
• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236
  Medicare reassignment
• Haywood County Community Hospital, Inc

  • Emergency Medicine Physician
  • Brownsville, TN
  • NPI 1790444933
  Medicare reassignment
• Lexington Family Physicians LLC

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1265660708
  Medicare reassignment
• Lexington Hospital Corporation

  • Emergency Medicine Physician
  • Lexington, TN
  • NPI 1083809669
  Medicare reassignment
• Perry County Community Hospital Inc

  • Critical Access Hospital
  • Linden, TN
  • NPI 1528890480
  Medicare reassignment
• Shamrock Community Hospital Inc

  dba Houston County Community Hospital

  • Critical Access Hospital
  • Erin, TN
  • NPI 1811566540
  Medicare reassignment
• Tennessee Orthopaedic Alliance PA

  • Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1538153937
  Medicare reassignment
• Roundup Memorial Hospital Association

  dba Roundup Memorial Healthcare - Clinic

  • Rural Health Clinic/Center
  • Roundup, MT
  • NPI 1902908262
  Medicare reassignment

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

• Amedisys Tennessee, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Brentwood, TN
  • NPI 1972551794
  Care Compare affiliation
• Clarksville Health System, LLC

  dba Tennova Healthcare-Clarksville

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794
  Care Compare affiliation

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1477628865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HILLCREST DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435088",
            "telephone_number": "931-563-0738",
            "fax_number": "931-552-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1553",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "1553",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "1553",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "1553",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "1553",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "1553",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "1553",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "1553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Urgent Care PLLC (AST - UC - Tiny Town)
• Crossroads Urgent Care PLLC (AST-UC Ft. Campbell)
• Crossroads Urgent Care, PLLC (Ascension St. Thomas Urgent Care)
• Crossroads Urgent Care, PLLC (AST - UC - St. Beth)
• Kathy J Crouch, M.S.
• Ryan D Crouch, PHARMD
• Paul Clinton Crow, DC
• Hayley Broadway Crozier, COTA/L
• Sydney Crutcher
• Crystal Clear Counseling Center

• Physician Assistant in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.