Individual provider Active NPI

Lorenzo Mayo Crowell IV, DO

  • Physical Medicine & Rehabilitation Physician
  • Virginia Beach, VA
National Provider Identifier
1730743501
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0102207787 Issued in VA
Practice address
5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Phone
(757) 490-4802
NPI assigned
Apr 26, 2019
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 0102207787 VA Primary

Addresses

Primary practice location

5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784

Mailing address

5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Phone (757) 490-4802

Other practice location 1

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4268

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcrowell289742@direct.vidanthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230711000139 VA Practitioner - Physical Medicine and Rehabilitation 1557696598 Reassigns benefits to 2 organizations
I20240916003068 MS Practitioner - Physical Medicine and Rehabilitation 1557696598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
William Carey University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4381 S Eason Blvd
North Mississippi Regional Pain Con
Tupelo, MS 38801-6583
Phone (662) 377-5199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.96 of 100Reported as individual
Quality
73.53
Promoting interoperability
98
Improvement activities
40
Cost
74.67

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
88.22
Promoting interoperability
77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Inc Current Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Jan 1, 2024 Accepting new patients
Jordan-Young Inst for Joint Reconstruction and Sports Medicine, LLC CurrentSince Jul 24, 2023 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Sep 4, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Jan 1, 2024 Accepting new patients
North Mississippi Medical Center Inc. CurrentSince Sep 4, 2024 Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

1207 Highway 182 W
Ste D
Starkville, MS 39759
Phone (662) 377-7170

1205 Highway 182 W
#B
Starkville, MS 39759
Phone (662) 377-5199

4381 S Eason Blvd
Tupelo, MS 38801
Phone (662) 377-5199

4381 S Eason Blvd
Ste 101
Tupelo, MS 38801
Phone (662) 377-4054

4381 S Eason Blvd
Ste 201
Tupelo, MS 38801
Phone (662) 377-5005

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386

5716 Cleveland St
Virginia Beach, VA 23462
Phone (260) 494-6497

5716 Cleveland St
Ste 200
Virginia Beach, VA 23462
Phone (757) 502-8583

Interoperability endpoints

  • Direct secure messaging: lcrowell289742@direct.vidanthealth.com
  • Direct secure messaging: lorenzocrowell@nmhs.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1730743501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 CLEVELAND ST STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621784",
            "telephone_number": "757-490-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 CLEVELAND ST STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621784",
            "telephone_number": "757-490-4802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-847-4268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "LORENZO",
        "middle_name": "MAYO",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0102207787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcrowell289742@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.