Lauren Nicole Crocker, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5014783 Issued in NC

Practice address

7429 Caratoke Hwy
Jarvisburg, NC 27947-9708

Phone

(252) 491-2111

Fax

(855) 246-2133

NPI assigned

Aug 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, VA, GA3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laurenc@grandyfamilymedicine.com

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA, NC

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD
• Grandy Family Medicine PC

  • Family Medicine Physician
  • Jarvisburg, NC
  • NPI 1609345412
  NPD
• Brenda Lee Davis Ma LPC LLC

  • Professional Counselor
  • Chesapeake, VA
  • NPI 1366762270
  NPD (past)

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1871267211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 CARATOKE HWY",
            "city": "JARVISBURG",
            "state": "NC",
            "postal_code": "279479708",
            "telephone_number": "252-491-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7429 CARATOKE HWY",
            "city": "JARVISBURG",
            "state": "NC",
            "postal_code": "279479708",
            "telephone_number": "252-491-2111",
            "fax_number": "855-246-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Laurenc@grandyfamilymedicine.com",
            "affiliation": "Y",
            "endpointDescription": "Employee email",
            "affiliationName": "Grandy Family Medicine PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Employee email",
            "address_1": "7429 Caratoke Hwy",
            "city": "Jarvisburg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279479708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Taylor Cohen
• Gaston Family Health Services, Inc.
• Grandy Family Medicine PC
• Madeline Kiousis
• Mane & Taill Therapeutic Horsemanship Academy
• Stacie M Medlin, LCSW

• Family Nurse Practitioner in Jarvisburg, NC
• Providers in Jarvisburg, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.