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

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

Other identifiers 1

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 and National Provider Directory roles.

• Selah

  • 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003263865",
            "state": "GA"
        }
    ],
    "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
• Jasmine Monique Gaither, M.S./CCC-SLP
• Alexandra Galvin, RD, LDN

• 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.