Individual provider Active NPI

Randall Jay Crawford, D.C.

  • Chiropractor
  • Crossville, TN
National Provider Identifier
1720397730
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2428 Issued in TN
Practice address
1364 Interstate Dr
Suite 101
Crossville, TN 38555-6187
Phone
(931) 456-8880
Fax
(931) 456-8883
NPI assigned
Sep 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 2428 TN
Chiropractor 111N00000X 277383 KY
Chiropractor 111N00000X 2428 TN Primary

Addresses

Primary practice location

1364 Interstate Dr
Suite 101
Crossville, TN 38555-6187

Mailing address

1364 Interstate Dr
Suite 101
Crossville, TN 38555-6187
Phone (931) 456-8880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000443 TN Practitioner - Chiropractic 0446429161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford ChiropracticGroup PAC ID 3375712193, 9 clinicians

Practice addresses (Care Compare)

408 S Main St
Suite C
Jamestown, TN 38556-3709
Phone (931) 879-8931

Merit-based Incentive Payment System (MIPS)

Final score
27.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
92.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2428TNMDMarriage & Family Therapist
277383KYMDChiropractor
2428OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Chiropractic Chiropractor CurrentSince Jul 5, 2011 Accepting new patients

Locations

1364 Interstate Dr
Ste 101
Crossville, TN 38555
Phone (931) 456-8880

408 S Main St
Jamestown, TN 38556
Phone (931) 879-8931

408 S Main St
Ste C
Jamestown, TN 38556
Phone (931) 879-8931

1260 Gallaher Rd
Ste Ac
Kingston, TN 37763
Phone (865) 248-8167

521 Medical Dr
Livingston, TN 38570
Phone (931) 403-6101

19790 Alberta St
Oneida, TN 37841
Phone (423) 569-8931

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1720397730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 INTERSTATE DR",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556187",
            "telephone_number": "931-456-8880",
            "fax_number": "931-456-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 INTERSTATE DR",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556187",
            "telephone_number": "931-456-8880",
            "fax_number": "931-456-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "RANDALL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-26",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TN",
            "license": "2428",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "277383",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.