NPIMap

Individual provider Active NPI

Crystal Joi Dacus

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1679216303
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25969 Issued in SC
Practice address
50 Cross Park CT
Greenville, SC 29605-4263
Phone
(864) 797-7035
Fax
(864) 797-7040
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 25969 SC Primary

Addresses

Primary practice location

50 Cross Park CT
Greenville, SC 29605-4263

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8611

Other practice location 1

830 S Buncombe Rd
Greer, SC 29650-2400
Phone (864) 797-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119004973 SC Practitioner - Nurse Practitioner 7810422441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

50 Cross Park CT
Greenville, SC 29605-4263
Phone (864) 797-7035

Hospital & facility affiliations

  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102
  • Prisma Health Baptist Easley Hospital Hospital, Easley, SC, CCN 420015
  • Prisma Health North Greenville Ltach Long-term care hospital, Travelers Rest, SC, CCN 422008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince May 17, 2024 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince May 17, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Mar 17, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Mar 17, 2025 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Ste 300
Greenville, SC 29601

50 Cross Park Ct
Greenville, SC 29605
Phone (864) 271-9773

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

2050 Corporate Centre Dr
Ste 220A
Myrtle Beach, SC 29577
Phone (843) 945-3234

2050 Corporate Centre Dr
Ste 220
Myrtle Beach, SC 29577
Phone (843) 444-0813

Interoperability endpoints

  • Direct secure messaging: cdacus838484@direct.ghs.myhfn.org

Organizations & group practices 4

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.

Hospital & facility affiliations 50

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

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1679216303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CROSS PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054263",
            "telephone_number": "864-797-7035",
            "fax_number": "864-797-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Buncombe Rd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296502400",
            "country_code": "US",
            "telephone_number": "864-797-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACUS",
        "first_name": "CRYSTAL",
        "middle_name": "JOI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.