NPIMap

Individual provider Active NPI

Jennifer Crawford, PA-C

  • Physician Assistant
  • Memphis, TN
National Provider Identifier
1700308087
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07566 Issued in NC
Practice address
3960 New Covington Pike
Memphis, TN 38128-2504
Phone
(901) 516-5200
NPI assigned
Jul 8, 2017
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0010-07566 NC Primary

Addresses

Primary practice location

3960 New Covington Pike
Memphis, TN 38128-2504

Mailing address

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171102002326 NC Practitioner - Physician Assistant 1557627817 Reassigns benefits to 2 organizations
I20181102000335 TN Practitioner - Physician Assistant 1557627817 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569

2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905
Phone (336) 716-2255

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3671TNMDSpeech-Language Pathologist
0010-07566NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Dec 20, 2025 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Aug 23, 2025 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Mar 1, 2023 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Mar 1, 2023 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Aug 23, 2025 Accepting new patients
Carolina Medicorp Enterprises Inc Physician Assistant Past Accepting new patients
Memphis Urgent Care #2, LLC. PastSince Feb 14, 2021 Accepting new patients

Locations

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

2311 Lewisville Clemmons Rd
Clemmons, NC 27012
Phone (336) 713-0400

1600 Highwoods Blvd
Greensboro, NC 27410
Phone (336) 765-5350

105 Hanes Square Cir
Winston Salem, NC 27103
Phone (336) 441-5569

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

3025 Kirby Whitten Rd
Ste 4
Bartlett, TN 38134
Phone (901) 562-0933

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Interoperability endpoints

  • Direct secure messaging: jcrawford1732266@direct.novanthealth.org
  • Direct secure messaging: jcrawford26980@mlh.direct-ci.com
  • Direct secure messaging: jcrawford3024757@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1700308087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282504",
            "telephone_number": "901-516-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282504",
            "telephone_number": "901-516-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-08",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.