Crystal Harris Lovvorn, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

200 Allen Memorial Dr
Bremen, GA 30110-2012

Phone

(770) 824-2000

NPI assigned

Feb 6, 2009

Last updated

May 20, 2010By 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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Georgia Em-I Medical Services. LLC

  • Nurse Practitioner
  • Bremen, GA
  • NPI 1851569560

  Physician Assistant

  Medicare reassignment NPD
• Carrollton Emergency Physicians, PC

  • Emergency Medicine Physician
  • Carrollton, GA
  • NPI 1790724672
  Medicare reassignment
• Georgia Em-I Medical Services, LLC

  • Nurse Practitioner
  • Covington, GA
  • NPI 1255213005

  Physician Assistant

  NPD

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1548409097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ALLEN MEMORIAL DR",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102012",
            "telephone_number": "770-824-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ALLEN MEMORIAL DR",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102012",
            "telephone_number": "770-824-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVVORN",
        "first_name": "CRYSTAL",
        "middle_name": "HARRIS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovvorn Drug Co
• Lovvorn Drug Co LLC (Brandall Lovvorn Drugs)
• Lovvorn Drug Company LLC
• Lovvorn Pharmacy
• Brandall Lovvorn, RPH. PHARMD
• Rebecca Jean Maddox, LPN
• Amber Maradiaga, PHARMD
• Kenneth Martin III, OTR/L
• Kathy Kennedy Matthews, ATC
• Daniel E McBrayer, M.D.

• Physician Assistant in Bremen, GA
• Providers in Bremen, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.