Individual provider Active NPI

Patrick T Crimmins, D.O.

  • Diagnostic Radiology Physician
  • Tifton, GA
National Provider Identifier
1497785539
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
039314 Issued in GA
Practice address
2225 US Highway 41 N
Tifton, GA 31794-2749
Phone
(229) 391-4100
Fax
(229) 391-4508
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 039314 GA Primary
Diagnostic Radiology Physician 2085R0202X 2026030580 MO

Addresses

Primary practice location

2225 US Highway 41 N
Tifton, GA 31794-2749

Mailing address

2225 US Highway 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100

Other practice location 1

525 Branson Landing Blvd Ste 107
Branson, MO 65616-2052
Phone (000) 000-0000

Other practice location 2

417 W 3rd Ave
Albany, GA 31701-1943
Phone (229) 312-1000

Other identifiers 1

IdentifierTypeStateIssuer
000647732JMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000926 GA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4385631944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Chicago College of Osteopathy, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Radiology Consultants PCGroup PAC ID 2769485655, 28 clinicians

Practice addresses (Care Compare)

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

Hospital & facility affiliations

  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Dec 29, 2016 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Feb 26, 2026 Accepting new patients
Phoebe Dorminy OB/GYN Associates CurrentSince Dec 29, 2016 Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Affinity Health Group LLC Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Early Memorial Hospital Past Accepting new patients
Open MRI of Tifton LLC PastSince Jun 1, 2007 Accepting new patients
Davis Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Affinity Outpatient Services Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1497785539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 US HIGHWAY 41 N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317942749",
            "telephone_number": "229-391-4100",
            "fax_number": "229-391-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 US HIGHWAY 41 N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317942749",
            "telephone_number": "229-391-4100",
            "fax_number": "229-391-4508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 W 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317011943",
            "country_code": "US",
            "telephone_number": "229-312-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIMMINS",
        "first_name": "PATRICK",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "039314",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2026030580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000647732J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.