John Cicero Crawford II, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001539 Issued in GA

Practice address

3941 John Hopkins CT
Decatur, GA 30034-5709

Phone

(770) 808-6054

Fax

(404) 616-1973

NPI assigned

Aug 5, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John C. Crawford, II

  • Women's Hospital
  • Atlanta, GA
  • NPI 1366409609
  NPD (past) Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1578754792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "address_2": "GRADY MEMORIAL HOSPITAL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-616-6867",
            "fax_number": "404-616-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 JOHN HOPKINS CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345709",
            "telephone_number": "770-808-6054",
            "fax_number": "404-616-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JOHN",
        "middle_name": "CICERO",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "001539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Ann Crain, M.S.
• Ericka M. Crane, PT
• Jimiesh G Crane, DDS
• Carolyn Buckner Crankfield
• Jerard Cranman, MD
• Kristen Kelly Crawford, LMSW
• Laquana Crawford, LMT
• Precious Laverne Crawford, DDS
• Sarah Crawford, LCSW
• Sheryl Crawford, MA

• Medical Physician Assistant in Decatur, GA
• Providers in Decatur, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.