Individual provider Active NPI

Crystal Goodwin Privette, MD

  • Obstetrics & Gynecology Physician
  • Elizabeth City, NC
National Provider Identifier
1639360290
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2007-00674 Issued in NC
Practice address
905 Thunder Rd
Elizabeth City, NC 27909-7672
Phone
(252) 334-0555
Fax
(844) 494-0230
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2007-00674 NC Primary

Addresses

Primary practice location

905 Thunder Rd
Elizabeth City, NC 27909-7672

Mailing address

905 Thunder Rd
Elizabeth City, NC 27909-7672
Phone (252) 334-0555

Other practice location 1

3805 Computer Dr
Raleigh, NC 27609-6503
Phone (919) 781-6200

Other identifiers 1

IdentifierTypeStateIssuer
5911149MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Crystal.Privette@vidanthealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000696 NC Practitioner - Obstetrics/Gynecology 7012073380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Brody School of Medicine at East Carolina University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albemarle Physician Services - Sentara IncGroup PAC ID 8729139852, 80 clinicians

Practice addresses (Care Compare)

905 Thunder Rd
Elizabeth City, NC 27909-7672
Phone (252) 334-0555

Hospital & facility affiliations

  • Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

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
2007-00674NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Sep 7, 2014 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 7, 2014 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Feb 1, 2026 Accepting new patients
Albemarle Physician Services - Sentara, Inc Obstetrics & Gynecology CurrentSince Feb 1, 2026 Accepting new patients

Locations

203A Earnhart Dr
Edenton, NC 27932
Phone (252) 482-2134

203 Earnhart Dr
Edenton, NC 27932
Phone (252) 482-2134

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

905 Thunder Rd
Ste 240
Elizabeth City, NC 27909
Phone (252) 334-0555

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Interoperability endpoints

  • Direct secure messaging: crystal.privette@vidanthealth.com

Organizations & group practices 4

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 2

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1639360290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097672",
            "telephone_number": "252-334-0555",
            "fax_number": "844-494-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097672",
            "telephone_number": "252-334-0555",
            "fax_number": "844-494-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3805 Computer Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096503",
            "country_code": "US",
            "telephone_number": "919-781-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIVETTE",
        "first_name": "CRYSTAL",
        "middle_name": "GOODWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2007-00674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911149",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Crystal.Privette@vidanthealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "203 Earnhart Dr",
            "city": "Edenton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279328401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.