NPIMap

Individual provider Active NPI

Christopher Scott Crooker, M.D.

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1609801018
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039315 Issued in GA
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
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 039315 GA Primary

Addresses

Primary 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031216000000 GA Practitioner - Internal Medicine 7618873431 Reassigns benefits to 1 organization

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 AssociatesGroup PAC ID 7810893732, 4 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039315GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Center Medical Associates Current Accepting new patients
Gwinnett Center Medical Associates CurrentSince Jul 1, 2002 Accepting new patients

Locations

748 Old Norcross Rd
Ste 185
Lawrenceville, GA 30046
Phone (770) 277-8554

Interoperability endpoints

  • Direct secure messaging: chris.crooker@gcma.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEFEAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.