Individual provider Active NPI

Michael Smith Crowder

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1669953246
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22139 Issued in SC
Practice address
3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Phone
(803) 434-8323
Fax
(803) 434-8326
NPI assigned
Aug 22, 2018
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 22139 SC Primary

Addresses

Primary practice location

3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, SC, AL, MI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20181210003523 GA Practitioner - Nurse Practitioner 4486998945
I20200715000484 NC Practitioner - Nurse Practitioner 4486998945 Reassigns benefits to 1 organization
I20210212000325 SC Practitioner - Nurse Practitioner 4486998945 Reassigns benefits to 1 organization
I20211108002363 AL Practitioner - Nurse Practitioner 4486998945 Reassigns benefits to 1 organization
I20220922002837 MI Practitioner - Nurse Practitioner 4486998945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians
Wexford Physician Services PCGroup PAC ID 3072024330, 39 clinicians
Otsego Physician Services PCGroup PAC ID 7416468954, 35 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Otsego Physician Services PC CurrentSince Aug 1, 2025 Accepting new patients
Cogent Healthcare of Decatur, LLC CurrentSince Nov 1, 2021 Accepting new patients
Pittsburgh Critical Care Associates, Inc CurrentSince Nov 1, 2018 Accepting new patients
Wexford Physician Services PC CurrentSince Jun 22, 2025 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Aug 10, 2020 Accepting new patients
North Michigan Physician Services PC CurrentSince Aug 19, 2025 Accepting new patients
Onslow Memorial Hospital, Inc. Past Accepting new patients

Locations

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

200 Corporate Blvd
Lafayette, LA 70508

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

241 New River Dr
Jacksonville, NC 28540
Phone (910) 430-4152

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-5600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1669953246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK DR STE 310",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036862",
            "telephone_number": "803-434-8323",
            "fax_number": "803-434-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "MICHAEL",
        "middle_name": "SMITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.