Eric Alvin Crouch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5885 Issued in GA

Practice address

413 Greenville St
Lagrange, GA 30241-3360

Phone

(706) 812-2225

Fax

(706) 812-8966

NPI assigned

Oct 4, 2006

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

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Crouch Chiropractic Clinic

  • Chiropractor
  • Lagrange, GA
  • NPI 1750510517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1598850315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 GREENVILLE ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413360",
            "telephone_number": "706-812-2225",
            "fax_number": "706-812-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 GREENVILLE ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413360",
            "telephone_number": "706-812-2225",
            "fax_number": "706-812-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "ERIC",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanterrika L Cox
• Kylia Butler Crane, RD, LD
• Nicole Casimira Crane, PA-C
• Crossroads Treatment Center of Lagrange, PC
• Crouch Chiropractic Clinic
• Brittain Skylar Crowe
• Deborah Belinda Culpepper
• Shatevia S Culpepper, MS, LAPC
• Custom Medication and Compliance Specialists Inc
• James Anfernee Cutts, PA-C

• Chiropractor in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.