Active NPI
Benjamin H Crapps, ATC, RN
- Registered Nurse
- Rome, GA
National Provider Identifier
1649419052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN225995
- Practice address
- 6 Mathis Dr NW
Rome, GA 30165-1242 - Phone
- (850) 591-1115
- NPI assigned
- Feb 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT0011049 | GA | |
| Registered Nurse | 163W00000X | RN225995 | GA | Primary |
Addresses
Primary practice location
6 Mathis Dr NW
Rome, GA 30165-1242
Mailing address
2138 Joe Frank Harris Pkwy NW
Cartersville, GA 30120-4843
Phone (850) 591-1115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN225995 | GA | MD | Registered Nurse |
| AT0011049 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1649419052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2138 JOE FRANK HARRIS PKWY NW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301204843",
"telephone_number": "850-591-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MATHIS DR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651242",
"telephone_number": "850-591-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAPPS",
"first_name": "BENJAMIN",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "ATC, RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-09",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT0011049",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN225995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.