Active NPI
Charles E. Crumley, M.D.
- Internal Medicine Physician
- Lincolnton, NC
National Provider Identifier
1831114875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16849
- Practice address
- 751 S Laurel St
Lincolnton, NC 28092-3622 - Phone
- (704) 735-3081
- Fax
- (704) 735-1083
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16849 | NC | Primary |
Addresses
Primary practice location
751 S Laurel St
Lincolnton, NC 28092-3622
Mailing address
751 S Laurel St
Lincolnton, NC 28092-3622
Phone (704) 735-3081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891133Y | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16849 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Health System | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Charles Crumley MD
- Internal Medicine Physician
- Lincolnton, NC
- NPI 1639108533
-
dba Lincoln Orthopaedics
- General Acute Care Hospital
- Lincolnton, NC
- NPI 1609070622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1831114875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 S LAUREL ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923622",
"telephone_number": "704-735-3081",
"fax_number": "704-735-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 S LAUREL ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923622",
"telephone_number": "704-735-3081",
"fax_number": "704-735-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMLEY",
"first_name": "CHARLES",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "16849",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891133Y",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, NC
- Michael L Crabill
- Crain Enterprises, Inc (Crain Family Care Home)
- Tracy Anne Crincoli, ATC
- Michael Crinion, DPT
- Crowned With Confidence LLC
- David E Thome DDS PLLC I (Lincolnton Pediatric Dentistry)
- David E Thome DDS PLLC VI (Lincolnton Pediatric Dentistry)
- Brandy Cheyenne Davis
- Crystal Harris Davis
- Alyssa N. Dedmon, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.