Active NPI
Christopher Scott Crooker, M.D.
- Internal Medicine Physician
- Lawrenceville, GA
National Provider Identifier
1609801018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 039315
- Practice address
- 748 Old Norcross Rd
Suite 185
Lawrenceville, GA 30045-3393 - Phone
- (770) 277-8554
- Fax
- (770) 277-1799
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Medical Physician Assistant
- Lawrenceville, GA
- NPI 1326144734
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gainesville, GA
- NPI 1235117581
Home health agency
-
- Home Health Agency
- Buford, GA
- NPI 1639100985
Home health agency
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gwinnett Center Medical AssociatesPhysiotherapy Associates Inc
Practice addresses (Care Compare)
748 Old Norcross Rd
Suite 185
Lawrenceville, GA 30046-3395
Phone (770) 277-8554
966 A Killian Hill Rd SW
Lilburn, GA 30047-3102
Phone (770) 923-4815
Hospital & facility affiliations
- Central Home Health Care, an Amedisys Company
- Centerwell Home Health
- Aveanna Home Health
- Accentcare Home Health of Northeast Georgia
- Enhabit Home Health
- Northside Hospital Gwinnett
- Piedmont Eastside Medical Center
- Northside Hospital Forsyth
- Northside Hospital Duluth
- Northside Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
Medicare enrollment files- 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: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031216000000 | GA | Practitioner - Internal Medicine | 7618873431 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Center Medical Associates | Current | Accepting new patients | |
| Gwinnett Center Medical Associates | Current | Accepting new patients |
Locations
748 Old Norcross Rd
Ste 185
Lawrenceville, GA 30046
Phone (770) 277-8554
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEFEAA
- chris.crooker@gcma.eclinicaldirectplus.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 039315 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
748 Old Norcross Rd
Suite 185
Lawrenceville, GA 30045-3393
Mailing address
748 Old Norcross Rd
Suite 185
Lawrenceville, GA 30045-3393
Phone (770) 277-8554
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00756104B | Medicaid | GA | |
| 970027535 | Other | GA | MEDICARE RR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2009.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1609801018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 OLD NORCROSS RD",
"address_2": "SUITE 185",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300453393",
"telephone_number": "770-277-8554",
"fax_number": "770-277-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "748 OLD NORCROSS RD",
"address_2": "SUITE 185",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300453393",
"telephone_number": "770-277-8554",
"fax_number": "770-277-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOKER",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "039315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00756104B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "970027535",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.