Active NPI
Crystal Hewitt Skinner, MD
- Family Medicine Physician
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.42027
- Practice address
- 5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698 - Phone
- (205) 343-2225
- Fax
- (205) 343-7825
- NPI assigned
- Apr 22, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.42027 | AL | Primary |
Addresses
Primary practice location
5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Mailing address
5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Phone (205) 343-2225
Other practice location 1
508 Green Street
Greensboro, AL 36744
Phone (334) 624-3024
Other practice location 2
3909 McFarland Blvd
Northport, AL 35476-2838
Phone (205) 333-1993
Other practice location 3
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649833906 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220719000039 | AL | Practitioner - Family Practice | 7810323656 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Primary Care LLC | Current | Accepting new patients | |
| Hale County Hospital | Current | Accepting new patients | |
| Hale County Hospital | Current | Accepting new patients | |
| Hale County Hospital | Past | Accepting new patients |
Locations
508 Greene St
#2
Greensboro, AL 36744
Phone (334) 624-3024
508 Greene St
Greensboro, AL 36744
Phone (334) 624-3024
508 Greene St
Ste A
Greensboro, AL 36744
40870 AL Highway 69
Ste A
Moundville, AL 35474
Phone (205) 371-4444
19570 Gorgas Rd
Northport, AL 35475
Phone (205) 349-1040
Interoperability endpoints
- crystal.skinner.1@31138.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/FCICCA
- crystal.skinner.1@12717.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Moundville, AL
- NPI 1376901686
-
- General Acute Care Hospital
- Greensboro, AL
- NPI 1225068935
-
- Home Health Agency
- Greensboro, AL
- NPI 1114927639
-
- Rural Health Clinic/Center
- Greensboro, AL
- NPI 1558464511
-
- Medicare Defined Swing Bed Hospital Unit
- Greensboro, AL
- NPI 1699005157
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Greensboro, AL
- NPI 1699005157
Nursing home
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northside Primary Care LLCHale County Hospital
Practice addresses (Care Compare)
19570 Gorgas Rd
Northport, AL 35475-1912
Phone (205) 737-7567
508 Greene St
Suite 2
Greensboro, AL 36744-2316
Phone (334) 624-3024
Hospital & facility affiliations
- Hale County Hospital
- Hale County Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1649833906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 OSCAR BAXTER DR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354053698",
"telephone_number": "205-343-2225",
"fax_number": "205-343-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 OSCAR BAXTER DR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354053698",
"telephone_number": "205-343-2225",
"fax_number": "205-343-7825"
}
],
"practiceLocations": [
{
"address_1": "508 Green Street",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "AL",
"postal_code": "36744",
"country_code": "US",
"telephone_number": "334-624-3024",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3909 McFarland Blvd",
"address_purpose": "LOCATION",
"city": "Northport",
"state": "AL",
"postal_code": "354762838",
"country_code": "US",
"telephone_number": "205-333-1993",
"fax_number": "205-333-0293",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 Peter Bryce Blvd",
"address_purpose": "LOCATION",
"city": "Tuscaloosa",
"state": "AL",
"postal_code": "354017457",
"country_code": "US",
"telephone_number": "205-348-1770",
"fax_number": "205-348-1772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKINNER",
"first_name": "CRYSTAL",
"middle_name": "HEWITT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "MD.42027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649833906",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.