Individual provider Active NPI

Crystal D Owens, M.D.

  • Family Medicine Physician
  • Irwinton, GA
National Provider Identifier
1508810227
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
048854 Issued in GA
Practice address
144 East Main St
Irwinton, GA 31042-2611
Phone
(478) 864-3448
Fax
(478) 864-1288
NPI assigned
May 19, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 048854 GA Primary

Addresses

Primary practice location

144 East Main St
Irwinton, GA 31042-2611

Mailing address

144 East Main Street
Irwinton, GA 31042-2611
Phone (478) 864-3448

Other identifiers 1

IdentifierTypeStateIssuer
048854OtherGAPROVIDER MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NFMUC_roswell@Northside.gwaydirect.com Direct

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
I20090629000371 GA Practitioner - Family Practice 1759432925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 N Abc St
Milledgeville, GA 31061-9313
Phone (478) 215-4009

101 Watson Rd
Suite B
Jeffersonville, GA 31044-3638
Phone (478) 945-6522

102 A Airport Rd NE
Milledgeville, GA 31061-9313
Phone (478) 453-0007

116 Smith St
Tennille, GA 31089-1465
Phone 4788643448204

218 Milledgeville Hwy
Gordon, GA 31031-3827
Phone (478) 946-1030

2251 W Elm St
Wrightsville, GA 31096-2017
Phone (478) 864-2600

250 Martin Luther King Jr Blvd
Macon, GA 31201-3490
Phone (478) 301-4500

3400 Riverside Dr
Macon, GA 31210-2513
Phone (478) 474-5600

4292 Gray Hwy
Gray, GA 31032-5900
Phone (478) 986-2500

557 A Broad St NW
Crawfordville, GA 30631-2918
Phone (706) 456-1599

616 Ferncrest Dr
Sandersville, GA 31082-1863
Phone 4788643448204

623 N Main St
Wrens, GA 30833-1178
Phone (706) 547-7551

675 Hamilton St
Sparta, GA 31087-1837
Phone (706) 444-5241

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048854GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Center of Central Georgia Inc CurrentSince Feb 1, 2023 Accepting new patients
Community Health Care Systems, Inc CurrentSince May 18, 2008 Accepting new patients
Community Health Care Systems, Inc CurrentSince May 18, 2008 Accepting new patients
The Medical Center of Central Georgia Inc. Current Accepting new patients
Community Health Care Systems, Inc. Current Accepting new patients
Community Health Care Systems, Inc Past Accepting new patients
Community Health Care Systems,Inc. Past Accepting new patients

Locations

144 E Main St
Irwinton, GA 31042
Phone (478) 946-1030

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508810227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 EAST MAIN STREET",
            "city": "IRWINTON",
            "state": "GA",
            "postal_code": "310422611",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 EAST MAIN ST",
            "city": "IRWINTON",
            "state": "GA",
            "postal_code": "310422611",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER MEDICAL LICENSE",
            "identifier": "048854",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NFMUC_roswell@Northside.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "144 EAST MAIN ST",
            "city": "IRWINTON",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310422611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irwinton, GA

Sources for this page

Verify at the official NPI Registry.