Individual provider Active NPI

Alison Grace Cronin, DO

  • Obstetrics & Gynecology Physician
  • Elizabethton, TN
National Provider Identifier
1750792891
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO3589 Issued in TN
Practice address
1505 W Elk Ave Ste 1
Elizabethton, TN 37643-2848
Phone
(423) 543-7919
Fax
(423) 543-5323
NPI assigned
May 12, 2014
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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 NU
Obstetrics & Gynecology Physician 207V00000X DO3589 TN Primary

Addresses

Primary practice location

1505 W Elk Ave Ste 1
Elizabethton, TN 37643-2848

Mailing address

PO Box 699
Mountain Home, TN 37684-0699
Phone (423) 433-6039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190212000633 TN Practitioner - Obstetrics/Gynecology 1355689621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
East Tennessee State University Quillen College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bristol Gynecology and Obstetrics, P.C.Group PAC ID 4587699145, 6 clinicians

Practice addresses (Care Compare)

2901 W State St
Bristol, TN 37620-1718
Phone (423) 968-3033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3589TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Gynecology & Obstetrics, P.C. Obstetrics & Gynecology CurrentSince Jan 8, 2024 Accepting new patients
Medical Education Assistance Corporation Obstetrics & Gynecology CurrentSince Feb 1, 2019 Accepting new patients
Medical Education Assistance Corporation Obstetrics & Gynecology PastSince Feb 1, 2019 Accepting new patients

Locations

28 Midway St
Bristol, TN 37620
Phone (423) 573-9873

2901 W State St
Bristol, TN 37620
Phone (423) 968-2182

1505 W Elk Ave
Ste 1
Elizabethton, TN 37643
Phone (423) 543-7919

325 N State of Franklin Rd
Fl 1
Johnson City, TN 37604
Phone (423) 439-7272

Organizations & group practices 3

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1750792891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376840699",
            "telephone_number": "423-433-6039",
            "fax_number": "423-433-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W ELK AVE STE 1",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432848",
            "telephone_number": "423-543-7919",
            "fax_number": "423-543-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "ALISON",
        "middle_name": "GRACE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "DO3589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.