Corben Crawford

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA002464 Issued in GA

Practice address

5300 Zebulon Rd
Macon, GA 31210-2199

Phone

(478) 245-4030

NPI assigned

Oct 10, 2022

Last updated

Oct 10, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1679298822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RED FOX TRL",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ZEBULON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102199",
            "telephone_number": "478-245-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CORBEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrana Craig, LPC
• Courtney A Craine, CRNA
• Diane M. Craine, APRN-BC
• Jay Cranford, DC
• Ally Crawford, M.C.D., CCC-SLP
• Jamaal Michael Crawford, MD
• Laqutia V Crawford, LCSW
• Maya Nicolle Crawford
• Tyler Kael Crews, NP
• Harriet Crockett-Woods, D.O.

• Occupational Therapy Assistant in Macon, GA
• Providers in Macon, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.