Individual provider Active NPI

Monick Crain, FNP-C

  • Family Nurse Practitioner
  • Jefferson, GA
National Provider Identifier
1639802473
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP248274 Issued in GA
Practice address
2748 Winder Hwy
Jefferson, GA 30549-5466
Phone
(706) 367-4455
NPI assigned
Jul 8, 2022
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP248274 GA Primary

Addresses

Primary practice location

2748 Winder Hwy
Jefferson, GA 30549-5466

Mailing address

PO Box 459
Colbert, GA 30628-0459

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830000452 GA Practitioner - Nurse Practitioner 9739563420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

2748 Winder Hwy
Jefferson, GA 30549-5466
Phone (706) 367-4455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP248274GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Georgia Inc CurrentSince Aug 1, 2022 Accepting new patients
Medlink Georgia, Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

611 Hospital Rd
Commerce, GA 30529
Phone (706) 336-8151

613 Hospital Rd
Commerce, GA 30529
Phone (706) 335-9411

520 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 287-0290

2748 Winder Hwy
Jefferson, GA 30549
Phone (706) 367-1894

Interoperability endpoints

  • Direct secure messaging: monick.crain.1@9864.direct.athenahealth.com
  • Direct secure messaging: monick.crain@mgi.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1639802473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 WINDER HWY",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305495466",
            "telephone_number": "706-367-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "MONICK",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP248274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

Verify at the official NPI Registry.