Rebecca Auston Croom, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-12255 Issued in NC

Practice address

103 Cox Blvd
Goldsboro, NC 27534-9478

Phone

(919) 734-8440

Fax

(919) 734-9387

NPI assigned

May 12, 2022

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

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 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waynesborough Ophthalmology, P.a.Group PAC ID 6103961438, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.73 of 100Reported as group

Quality

95.68

Improvement activities

40

Cost

78.19

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Waynesborough Ophthalmology, P.a.

  • Ophthalmology Physician
  • Goldsboro, NC
  • NPI 1124083167
  Medicare reassignment Care Compare group
• Greenville Express Care, PA

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1477717312
  Medicare reassignment
• Hookerton Family Practice, PA

  • Family Medicine Physician
  • Hookerton, NC
  • NPI 1245275221
  Medicare reassignment
• Greenville Health Care Center,PA

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1851341408
  NPD (past)

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1699411561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349478",
            "telephone_number": "919-734-8440",
            "fax_number": "919-734-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349478",
            "telephone_number": "919-734-8440",
            "fax_number": "919-734-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOM",
        "first_name": "REBECCA",
        "middle_name": "AUSTON",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T-Rex Crawford, ABD, LCAS, CSI, LCSW
• Sara Creech
• Kevin M Cregan, M.D.
• Sharon G. Crenshaw, PHYSICIAN EXTENDER
• Kristen Shayanne Crook, CPNP-PC
• Susan Sutton Croom, FNP-C
• Anne Cross, MD
• Crossroads Support Services, Inc
• James L. Crowgey Jr., MD
• Crown of Shalom Hair Artistry

• Physician Assistant in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.

Verify at the official NPI Registry.