Alan Gregory Crawford, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA013 Issued in MS

Practice address

24 Marks Road
Ocean Springs, MS 39564

Phone

(228) 872-8873

Fax

(228) 872-8876

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Dermatology Clinic of St. Tammany II, LLCGroup PAC ID 2769814599, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Merit-based Incentive Payment System (MIPS)

Final score

97.47 of 100Reported as group

Quality

94.94

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

83.93 of 100Reported as group

Quality

76.77

Promoting interoperability

89

Improvement activities

40

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 and National Provider Directory roles.

• The Dermatology Clinic of St Tammany II, LLC

  • Procedural Dermatology Physician
  • Covington, LA
  • NPI 1356421010
  Medicare reassignment Care Compare group
• Eric N. Tabor, M.D. a.P.M.C

  • Dermatology Physician
  • Picayune, MS
  • NPI 1235174301
  NPD (past)
• Eric N. Tabor, M.D. a.P.M.C

  • Dermatology Physician
  • Slidell, LA
  • NPI 1689619017
  NPD (past)

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

• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582

  Hospital

  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  • Pulmonary Disease Physician
  • Covington, LA
  • NPI 1285285874

  Hospital

  Care Compare affiliation
• St. Tammany Parish Hospital Service District No 1

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Care Compare affiliation

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1720048002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 3488",
            "address_2": "DEPT 05-115",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033488",
            "telephone_number": "228-872-8873",
            "fax_number": "678-553-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MARKS ROAD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-872-8873",
            "fax_number": "228-872-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ALAN",
        "middle_name": "GREGORY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "PA013",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126840",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold Todd Coulter II
• Harold Todd Coulter, M.D.
• Taylor E Covington, PA-C
• Lynsey Jenkins Cox, M.D.
• Roger Lee Cox, CRNA
• Cre8Tive Massage, LLC
• Jessica Renee Creel, OT
• Jordan Symone Crenshaw, RBT
• Brianna Danielle Cronley
• Erica Enger Cross, PA

• Dermatology Physician in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.