Individual provider Active NPI

Candice Alisha Crawford

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1700133394
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO009041 Issued in GA
Practice address
6221 Shallowford Rd Ste 102
Chattanooga, TN 37421-1972
Phone
(423) 541-9455
NPI assigned
Aug 14, 2012
Last updated
Jan 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO009041 GA Primary

Addresses

Primary practice location

6221 Shallowford Rd Ste 102
Chattanooga, TN 37421-1972

Mailing address

6221 Shallowford Rd Ste 102
Chattanooga, TN 37421-1972
Phone (404) 839-4566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221219002838 TN Practitioner - Chiropractic 2062881790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DC VenturesGroup PAC ID 7719337989, 3 clinicians

Practice addresses (Care Compare)

6221 Shallowford Rd
Suite 100
Chattanooga, TN 37421-1972
Phone (423) 541-9455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO009041GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
DC Ventures CurrentSince Aug 8, 2023 Accepting new patients

Locations

6221 Shallowford Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 541-9455

6221 Shallowford Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 541-9455

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1700133394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 SHALLOWFORD RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211972",
            "telephone_number": "404-839-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 SHALLOWFORD RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211972",
            "telephone_number": "423-541-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CANDICE",
        "middle_name": "ALISHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO009041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.