Joanna L Fuller-Crawford, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN214718 Issued in GA

Practice address

5228 Rosewood PL
Fairburn, GA 30213-5113

Phone

(678) 834-2285

Fax

(404) 445-0347

NPI assigned

Feb 14, 2023

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Selah

  dba Perfect Care Nursing

  • In Home Supportive Care Agency
  • Atlanta, GA
  • NPI 1780152694

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1851098347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 ROSEWOOD PL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135113",
            "telephone_number": "678-834-2285",
            "fax_number": "404-445-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 ROSEWOOD PL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135113",
            "telephone_number": "678-834-2285",
            "fax_number": "404-445-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER-CRAWFORD",
        "first_name": "JOANNA",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN214718",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "GA",
            "license": "RN214718",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN214718",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "GA",
            "license": "RN214718",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "RN214718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus R Fisher, PTA
• Five Star Education Advocacy Group Inc
• Flourish ABA LLC
• Fran's Hands Limited Liability Company
• Sharnell Denise Frink, PSY.D., LPC
• Debbie Fuller-Olds
• John Michael Funnell, PT, DPT
• Gafairburn SNF LLC (Fairburn Health Care Center)
• Brittany Gaither, PMHNP
• Jasmine Monique Gaither, M.S./CCC-SLP

• Administrator Registered Nurse in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Administrator Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.