Rhonda A Crockett

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

401 Westpark CT Ste 200
Peachtree City, GA 30269-3572

Phone

(800) 341-0120

Fax

(866) 341-3403

NPI assigned

Jun 9, 2019

Last updated

Mar 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• A New Well, Inc

  • Home Health Agency
  • Stockbridge, GA
  • NPI 1942863204
  NPD Authorized official
• The Quality Improvement Team, LLC

  dba The Qi Team, LLC

  • Home Health Agency
  • Peachtree City, GA
  • NPI 1104390459
  NPD Authorized official
• NC Community Care Services Inc

  • Home Health Agency
  • Raleigh, NC
  • NPI 1902346067
  Authorized official Same address or phone

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1487213930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WYONIA WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152421",
            "telephone_number": "404-719-9549",
            "fax_number": "866-341-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTPARK CT STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693572",
            "telephone_number": "800-341-0120",
            "fax_number": "866-341-3403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 W Big Beaver Rd Ste 2020",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844925",
            "country_code": "US",
            "telephone_number": "800-341-0120",
            "fax_number": "866-341-3403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "RHONDA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PEER SPECIALIST",
            "identifier": "000111222333",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Bruce Crane, DC
• Philip James Crane, D.C.
• Crawford Long Hospital
• Lauren Crigler, DPT
• Jeffrey Crisp, PHARM.D.
• Crosstown Clinics LLC
• Lisa Jeannine Crow Demars, NP
• Dalia Cuevas Madrigal, MS,APC,NCC
• Clay Cutts, L.M.S.W.
• CVS Minute Clinic

• Peer Specialist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Peer Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.