Carla Crawford MD PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

54479 Issued in GA

Legal business name

CARLA CRAWFORD MD PC

Practice address

315 Boulevard NE
Suite 555
Atlanta, GA 30312-1200

Phone

(678) 904-5212

Fax

(770) 939-3331

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Carla E Crawford, M.D., P.CNPI 1902823784

Title

Owner

Phone

(678) 904-5211

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla E Crawford, MD

  • Gynecology Physician
  • Suwanee, GA
  • NPI 1902823784
  Medicare reassignment Authorized official
• Donald A Culley, MD

  • Urology Physician
  • Suwanee, GA
  • NPI 1548281397
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1508989161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1379",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302240033",
            "telephone_number": "678-904-5211",
            "fax_number": "770-939-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BOULEVARD NE",
            "address_2": "SUITE 555",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121200",
            "telephone_number": "678-904-5212",
            "fax_number": "770-939-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA CRAWFORD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-904-5211",
        "authorized_official_credential": "M.D., P.C"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "54479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563610431B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Senior Service of Cobb County
• Caringhome Connect LLC
• Carioca Enterprises LLC
• Carl Bean Mens Health and Wellness Center Inc
• Curtis Alfred Carl, MD
• Brittany Carley
• Adam James Carlisle, MD
• Jennifer Wilkinson Carlisle, M.D.
• Leah Marion Carlisle
• Rachel E Carlisle

• Gynecology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.