Crittenden Family Health and Wellness Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RN106186 Issued in GA

Legal business name

CRITTENDEN FAMILY HEALTH AND WELLNESS CENTER

Practice address

125 Commerce Dr
Fayetteville, GA 30214-7336

Phone

(678) 519-0808

Fax

(678) 519-0576

NPI assigned

Dec 27, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene Rene Crittenden, DNP

Title

President/Nurse Practitioner

Phone

(706) 325-4550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1730695776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COMMERCE DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147336",
            "telephone_number": "678-519-0808",
            "fax_number": "678-519-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COMMERCE DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147336",
            "telephone_number": "678-519-0808",
            "fax_number": "678-519-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN FAMILY HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "CRITTENDEN",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "706-325-4550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RN106186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Thomas Cox, DC
• Tamara Alyce Craig
• Latoria Crawford
• CRH
• Ryan K. Crisel, MD
• Tianna Cosima Crooks, NP
• Cross My Heart Physical Therapy
• Gina Cross, BCBA, MS
• Anna Crowley
• Elizabeth Marea Crumpler, FNP

• Primary Care Clinic/Center in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.