Active NPI
Holly M Crowley, MD
- Neurology Physician
- Thomasville, GA
National Provider Identifier
1629045398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 51452
- Practice address
- 509 Gordon Ave
Thomasville, GA 31792-6645 - Phone
- (229) 226-7544
- Fax
- (229) 226-0314
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 51452 | GA | Primary |
Addresses
Primary practice location
509 Gordon Ave
Thomasville, GA 31792-6645
Mailing address
PO Box 1378
Thomasville, GA 31799-1378
Phone (229) 226-7544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899598871A | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040701000466 | GA | Practitioner - Neurology | 3678550324 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51452 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Behavioral Health & Developmental Disabilities, Ga | Neurology | Current | Accepting new patients |
| Department of Behavioral Health and Developmental Disabilities | Current | Accepting new patients | |
| The Pediatric Center LLC | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Ozarks Medical Center | Neurology | Past | Accepting new patients |
| The Pediatric Center LLC | Past | Accepting new patients |
Locations
3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030
620 Broad St
Milledgeville, GA 31062
Phone (478) 445-4128
400 S Pinetree Blvd
Thomasville, GA 31792
Phone (229) 227-2990
Organizations & group practices 6
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.
-
- Psychiatric Hospital
- Milledgeville, GA
- NPI 1902030307
GA
-
- Neurology Physician
- Thomasville, GA
- NPI 1174942684
Neurology
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Primary Care Clinic/Center
- Cairo, GA
- NPI 1104047075
-
- Primary Care Clinic/Center
- Thomasville, GA
- NPI 1760602783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1629045398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1378",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317991378",
"telephone_number": "229-226-7544",
"fax_number": "229-226-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 GORDON AVE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926645",
"telephone_number": "229-226-7544",
"fax_number": "229-226-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "HOLLY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "51452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899598871A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.