NPIMap

Individual provider Active NPI

Mark Macgregor Crabbe, MD

  • Surgery Physician
  • Sumter, SC
National Provider Identifier
1619921905
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15833 Issued in SC
Practice address
115 N Sumter St
Ste 300
Sumter, SC 29150-4972
Phone
(803) 775-4655
Fax
(803) 775-7258
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 15833 SC
Surgery Physician 208600000X 15833 SC Primary
Specialist 174400000X 15833 SC
Vascular Surgery Physician 2086S0129X 15833 SC

Addresses

Primary practice location

115 N Sumter St
Ste 300
Sumter, SC 29150-4972

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other identifiers 1

IdentifierTypeStateIssuer
158331MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20050314000584 SC Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 9234184110 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Medical University of South Carolina College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

115 N Sumter St
Suite 300
Sumter, SC 29150-4967
Phone (803) 775-1550

200 Patewood Dr
Suite C300
Greenville, SC 29615-6324
Phone (864) 454-8272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue315
Removal of skin lesions52
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15833SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Tuomey CurrentSince Jan 19, 2016 Accepting new patients
Prisma Health Tuomey CurrentSince Jan 19, 2016 Accepting new patients
Prisma Health Medical Group-Midlands Surgery CurrentSince Jun 13, 2017 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jun 13, 2017 Accepting new patients
Prisma Health University Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Prisma Health University Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Prisma Health Medical Group-Midlands Surgery Current Accepting new patients

Locations

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

1333 Taylor St
Ste 1B
Columbia, SC 29201
Phone (803) 254-6391

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 Patewood Dr
Ste C300
Greenville, SC 29615
Phone (864) 454-2852

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

115 N Sumter St
Ste 300
Sumter, SC 29150
Phone (803) 775-1550

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

115 N Sumter St
Ste 400
Sumter, SC 29150
Phone (803) 774-7425

Interoperability endpoints

  • Direct secure messaging: mcrabbe378356@direct.ghs.myhfn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1619921905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST",
            "address_2": "STE 300",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504972",
            "telephone_number": "803-775-4655",
            "fax_number": "803-775-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABBE",
        "first_name": "MARK",
        "middle_name": "MACGREGOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "15833",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "15833",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "15833",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "15833",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158331",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.