Jessica N Crawford, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

004650 Issued in GA

Practice address

2171 Northlake Pkwy
Building 3, Suite 100
Tucker, GA 30084-4104

Phone

(404) 296-8000

Fax

(770) 493-6842

NPI assigned

Jun 16, 2006

Last updated

May 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Mountain Dermatology, LLCGroup PAC ID 6901980259, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.17 of 100Reported as individual

Quality

96.67

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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 Mountain Dermatology, LLC

  • Dermatology Physician
  • Jasper, GA
  • NPI 1043400088
  Medicare reassignment Care Compare group
• Atlanta Dermatology & Surgery P.a.

  • Specialist
  • Tucker, GA
  • NPI 1932300084
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1558305706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 NORTHLAKE PKWY",
            "address_2": "BUILDING 3, SUITE 100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844104",
            "telephone_number": "404-296-8000",
            "fax_number": "770-493-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 NORTHLAKE PKWY",
            "address_2": "BUILDING 3, SUITE 100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844104",
            "telephone_number": "404-296-8000",
            "fax_number": "770-493-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JESSICA",
        "middle_name": "N",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "004650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Covert
• Jaclyn Duvall Cox, LCSW
• Marcella Cherry Cox, D.O.
• Ruth Cox, MIDWIFE
• Brenda Crawford, MSW
• Crosslinks Family Practice, LLC
• Crossroads Hospice of Atlanta LLC
• Crossroads Hospice of Atlanta LLC
• Robert M Crowe, PHARM D
• Brooke Cryer, PT, DPT

• Surgical Physician Assistant in Tucker, GA
• Providers in Tucker, GA by specialty
• Surgical Physician Assistant in Georgia

• 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; Order and Referring.
• 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.