Mary Elizabeth Crowder, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TL1930 Issued in SC

Practice address

11416 Grigsby Chapel Rd Ste 104
Knoxville, TN 37934-1649

Phone

(865) 218-2100

NPI assigned

Jun 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Elite Pain Consultants, PLLC

  • Pain Medicine Physician
  • Cleveland, TN
  • NPI 1497267173
  Medicare reassignment
• Interventional Pain Consultants

  • Interventional Pain Medicine Physician
  • Cleveland, TN
  • NPI 1174241145
  Medicare reassignment
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264
  Medicare reassignment
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment
• Interventional Pain Consultants

  • Durable Medical Equipment & Medical Supplies
  • Ringgold, GA
  • NPI 1629932389
  NPD

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1649619834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373202070",
            "telephone_number": "423-476-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 GRIGSBY CHAPEL RD STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341649",
            "telephone_number": "865-218-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Midland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858104",
            "country_code": "US",
            "telephone_number": "843-970-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL1930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly C Crouch, FNP
• Brittany Crow
• Miranda Charlotte Crow, DPT
• Darren Crowder
• Hope Crowder, LMSW
• Charles David Crowe III
• Jane Crowe
• Mary K Crowe, D.O.
• Nikoah Rechelle Crowe, CCMA
• Breanna Crowell, MA, LPC, LMFT

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.

Verify at the official NPI Registry.