Individual provider Active NPI

Linda L Crawford, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1700940772
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR004866 Issued in GA
Practice address
1459 Cobb Pkwy N
Marietta, GA 30062-2425
Phone
(770) 919-9625
Fax
(770) 919-8154
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR004866 GA Primary

Addresses

Primary practice location

1459 Cobb Pkwy N
Marietta, GA 30062-2425

Mailing address

1459 Cobb Pkwy N
Marietta, GA 30062-2425
Phone (770) 919-9625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151026001365 GA Practitioner - Chiropractic 8022059336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Total Health Center, LLCGroup PAC ID 2163579103, 2 clinicians

Practice addresses (Care Compare)

1459 Cobb Pkwy N
Marietta, GA 30062-2425
Phone (770) 919-9625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR004866GAMDChiropractor
4866GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Total Health Center, LLC Chiropractor CurrentSince May 17, 2005 Accepting new patients
Kennesaw Health and Wellness Chiropractor Past Accepting new patients

Locations

1459 Cobb Pkwy N
Marietta, GA 30062
Phone (770) 919-9625

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1700940772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 COBB PKWY N",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622425",
            "telephone_number": "770-919-9625",
            "fax_number": "770-919-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 COBB PKWY N",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622425",
            "telephone_number": "770-919-9625",
            "fax_number": "770-919-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "LINDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.