Organization Active NPI

Crabapple Family Medicine

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1518302140
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58737 Issued in GA
Legal business name
CRABAPPLE FAMILY MEDICINE
Practice address
2700 Abbey CT
The Offices @ Crabapple Village
Alpharetta, GA 30004-6024
Phone
(770) 772-4233
Fax
(770) 772-4872
NPI assigned
May 9, 2013
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Mrs. Amy Bolden
Title
Practice Administrator
Phone
(770) 772-4233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58737 GA Primary

Addresses

Primary practice location

2700 Abbey CT
The Offices @ Crabapple Village
Alpharetta, GA 30004-6024

Mailing address

2700 Abbey CT
The Offices @ Crabapple Village
Alpharetta, GA 30004-6024
Phone (770) 772-4233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130905000750 GA Part B Supplier - Clinic/Group Practice 4183867450 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2060601Crabapple Family Medicine2700 Abbey Court - the Offices/Crabapple Village, Alpharetta, GA 30004Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory

Locations

2700 Abbey Ct
Alpharetta, GA 30004
Phone (770) 772-4233

2700 Abbey Ct
Ofc
Alpharetta, GA 30004
Phone (770) 772-4233

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1792/brand/2/csg/21/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1518302140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 ABBEY CT",
            "address_2": "THE OFFICES @ CRABAPPLE VILLAGE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046024",
            "telephone_number": "770-772-4233",
            "fax_number": "770-772-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ABBEY CT",
            "address_2": "THE OFFICES @ CRABAPPLE VILLAGE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046024",
            "telephone_number": "770-772-4233",
            "fax_number": "770-772-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRABAPPLE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-772-4233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "58737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.