Active NPI
Jolyn B Crabb, ACNP
- Nurse Practitioner
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN112575
- Practice address
- 706 Dixie St Ste 320
Carrollton, GA 30117-3890 - Phone
- (770) 812-9326
- Fax
- (770) 836-9358
- NPI assigned
- Mar 5, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN112575 | GA | Primary |
Addresses
Primary practice location
706 Dixie St Ste 320
Carrollton, GA 30117-3890
Mailing address
706 Dixie St Ste 220
Carrollton, GA 30117-3889
Phone (770) 838-8710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Current | Accepting new patients | |
| Pittsburgh Critical Care Associates, Inc | Current | Accepting new patients | |
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| Apogee Medical Group Georgia | Current | Accepting new patients | |
| Sound Physicians Intensivists of Georgia PC | Nurse Practitioner | Current | Accepting new patients |
| Hamilton Medical Center, Inc. | Current | Accepting new patients | |
| Carrollton Surgical Group, P. a. | Past | Accepting new patients | |
| Adventist Health System Georgia Inc | Past | Accepting new patients |
Locations
706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825
706 Dixie St
Ste 320
Carrollton, GA 30117
Phone (770) 812-9326
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
-
- Critical Care Medicine (Internal Medicine) Physician
- Macon, GA
- NPI 1376159590
Nurse Practitioner
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
-
- Critical Care Medicine (Internal Medicine) Physician
- Altoona, PA
- NPI 1497703680
-
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
- Surgery Physician
- Carrollton, GA
- NPI 1417931825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1639477235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 DIXIE ST STE 220",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173889",
"telephone_number": "770-838-8710",
"fax_number": "770-812-5735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 DIXIE ST STE 320",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173890",
"telephone_number": "770-812-9326",
"fax_number": "770-836-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABB",
"first_name": "JOLYN",
"middle_name": "B",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-05",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN112575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.