Individual provider Active NPI

Jolyn B Crabb, ACNP

  • Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1639477235
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN112575 Issued in GA
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

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc CurrentSince Jul 19, 2021 Accepting new patients
Pittsburgh Critical Care Associates, Inc CurrentSince Dec 10, 2018 Accepting new patients
Hamilton Physician Group Inc CurrentSince Feb 1, 2015 Accepting new patients
Apogee Medical Group Georgia CurrentSince Sep 29, 2018 Accepting new patients
Sound Physicians Intensivists of Georgia PC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Feb 1, 2015 Accepting new patients
Carrollton Surgical Group, P. a. PastSince Jun 22, 2021 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.

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

Verify at the official NPI Registry.