Individual provider Active NPI

Crystal D Bright, MD

  • Family Medicine Physician
  • Lavonia, GA
National Provider Identifier
1851460786
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67869 Issued in GA
Practice address
355 Clear Creek Pkwy Ste 1003
Lavonia, GA 30553-4271
Phone
(706) 356-1422
Fax
(706) 356-1425
NPI assigned
Nov 7, 2006
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 67869 GA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 67869 GA

Addresses

Primary practice location

355 Clear Creek Pkwy Ste 1003
Lavonia, GA 30553-4271

Mailing address

228 Historic Old Highway 441
Clarkesville, GA 30523-4826
Phone (478) 455-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20120808000801 GA Practitioner - Family PracticePractitioner - Sports Medicine 2668628561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Meharry Medical College School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, shared by 38 NPIs, 93 clinicians

Practice addresses (Care Compare)

11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone (706) 788-2127

112 Banks Rd
Suite 1
Commerce, GA 30529-6300
Phone (706) 677-4568

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Resources Management of Rabun, LLC CurrentSince Oct 17, 2024 Accepting new patients
Medlink Georgia Inc CurrentSince Sep 9, 2025 Accepting new patients
Medlink Georgia, Inc CurrentSince Sep 9, 2025 Accepting new patients
The Baxley and Appling County Hospital Authority Past Accepting new patients
Professional Resource MGMT of Rabun, LLC Past Accepting new patients

Locations

162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

112 Banks Rd
Ste 1
Commerce, GA 30529
Phone (706) 677-4568

Interoperability endpoints

  • Direct secure messaging: crystal.bright@gadirect.net
  • FHIR API: https://api.platform.athenahealth.com/13027/brand/8/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/mtlake-2b448abd

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1851460786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 HISTORIC OLD HIGHWAY 441",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305234826",
            "telephone_number": "478-455-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CLEAR CREEK PKWY STE 1003",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305534271",
            "telephone_number": "706-356-1422",
            "fax_number": "706-356-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "67869",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "GA",
            "license": "67869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavonia, GA

Sources for this page

Verify at the official NPI Registry.