Crystal Berry Hood, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

058813 Issued in GA

Practice address

1506 Klondike Rd SW
Suite 205
Conyers, GA 30094-5173

Phone

(678) 750-3010

Fax

(770) 696-2911

NPI assigned

Dec 13, 2006

Last updated

Apr 1, 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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.hood.1@27723.direct.athenahealth.com
• Direct secure messaging: drhood@pcforwellness.opdirect.net

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.

• Pediatric Center for Wellness

  • Pediatrics Physician
  • Conyers, GA
  • NPI 1437416708
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1528129251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 KLONDIKE RD SW STE 205",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945173",
            "telephone_number": "678-750-4000",
            "fax_number": "678-750-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 KLONDIKE RD SW",
            "address_2": "SUITE 205",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945173",
            "telephone_number": "678-750-3010",
            "fax_number": "770-696-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "CRYSTAL",
        "middle_name": "BERRY",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "058813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408365264B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel T. Holzer, CP, LP
• Home Guard Private Home Care LLC (My Home Guard Care LLC)
• Home of the Heroes
• Honey Creek Dental
• Honeycreek Dental
• Ryan Hood
• Nadeem N Hoodbhoy, MD
• Cynthia Hooyman
• Hope and Grace Solutions
• Hopebridge LLC

• Pediatrics Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.