Individual provider Active NPI

Matthew Shane Crawford, PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1871938746
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006776 Issued in GA
Practice address
5356 Reynolds St
Ste 505
Savannah, GA 31405-6016
Phone
(912) 356-1515
Fax
(912) 644-0756
NPI assigned
May 6, 2013
Last updated
Apr 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006776 GA Primary

Addresses

Primary practice location

5356 Reynolds St
Ste 505
Savannah, GA 31405-6016

Mailing address

5356 Reynolds St
Ste 505
Savannah, GA 31405-6016
Phone (912) 356-1515

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006776GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Ear Associates PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcrawford@gent2091.srs-direct.com

Organizations & group practices 1

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1871938746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST",
            "address_2": "STE 505",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056016",
            "telephone_number": "912-356-1515",
            "fax_number": "912-644-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST",
            "address_2": "STE 505",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056016",
            "telephone_number": "912-356-1515",
            "fax_number": "912-644-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "MATTHEW",
        "middle_name": "SHANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.