Michael Smith Crowder
Individual provider Active NPI Family Nurse Practitioner · Columbia, SC
NPI 1669953246 · NPPES record last updated Jul 20, 2022
Key facts
- NPI
- 1669953246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 22139 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Michigan Physician Services PC
Onslow Memorial Hospital Inc
Wexford Physician Services PC
Otsego Physician Services PC
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
- Munson Healthcare Grayling Hospital
- Munson Healthcare Cadillac Hospital
- Munson Healthcare Otsego Memorial Hospital
- Charlevoix Area Hospital
- Onslow Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in GA, NC, SC, AL, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otsego Physician Services PC | Current |
Accepting new patients | |
| North Michigan Physician Services PC | Current |
Accepting new patients | |
| Pittsburgh Critical Care Associates, Inc | Current |
Accepting new patients | |
| Cogent Healthcare of Decatur, LLC | Current |
Accepting new patients | |
| Wexford Physician Services PC | Current |
Accepting new patients | |
| Onslow Memorial Hospital Inc | Current |
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
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
241 New River Dr
Jacksonville, NC 28540
Phone (910) 430-4152
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22139 | SC | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP7348 | Medicaid | SC |
Other providers in Columbia, SC
- Rodney Webb Crouch Sr.
- Emily Anne Crounse
- Katherine Crow
- Sandra Crow
- Houston Crowder IV
- April Dawn Crowe
- Jessica Crowley
- Crown-Ology LTD. Co
- Janetta Delores Crowson
- Allison K Croxton
All providers in Columbia, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.