Individual provider Active NPI

Joseph Michael Crosby, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Evans, GA
National Provider Identifier
1770869893
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6245 Issued in GA
Practice address
465 N Belair Rd Ste 2B
Evans, GA 30809-3190
Phone
(706) 774-7400
Fax
(706) 774-7590
NPI assigned
Nov 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6245 GA Primary

Addresses

Primary practice location

465 N Belair Rd Ste 2B
Evans, GA 30809-3190

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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

Enrollment IDStateProvider typePAC IDDetails
I20130410000327 GA Practitioner - Physician Assistant 5597901975 Reassigns benefits to 2 organizations
I20140819001145 SC Practitioner - Physician Assistant 5597901975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

1021 Silver Bluff Rd
Aiken, SC 29803-5879
Phone (803) 648-0587

107 Walnut LN
Suite 102
North Augusta, SC 29860-8629
Phone (803) 202-7110

1267 Hwy 54 W 2200
Fayetteville, GA 30214-2110
Phone (470) 271-3415

325 Georgia Ave
Suite 100
North Augusta, SC 29841-3848
Phone (803) 202-3351

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6245GAMDInternist Chiropractor
2059SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Group LLC CurrentSince Oct 18, 2016 Accepting new patients
University Primary Care Current Accepting new patients
Umg Endocrinology LLC Current Accepting new patients
University Health Care Physicians LLC Current Accepting new patients
University Prompt Care Current Accepting new patients
University Medical Group LLC CurrentSince Oct 18, 2016 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients

Locations

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

1303 Dantignac St
Ste 1200
Augusta, GA 30901
Phone (706) 774-7760

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

465 N Belair Rd
Ste 2B
Evans, GA 30809
Phone (706) 774-7400

350 Austin Graybill Rd
North Augusta, SC 29860
Phone (706) 736-5244

309 West Ave
North Augusta, SC 29841
Phone (803) 279-1412

Organizations & group practices 10

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.

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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1770869893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD STE 2B",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093190",
            "telephone_number": "706-774-7400",
            "fax_number": "706-774-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.