Individual provider Active NPI

Charles H Crabbe, MD

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1891784229
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022132 Issued in GA
Practice address
320 Kennestone Hospital Blvd
Suite 201
Marietta, GA 30060-1161
Phone
(770) 427-2457
Fax
(770) 427-2706
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022132 GA Primary

Addresses

Primary practice location

320 Kennestone Hospital Blvd
Suite 201
Marietta, GA 30060-1161

Mailing address

320 Kennestone Hospital Blvd
Suite 201
Marietta, GA 30060-1161
Phone (770) 427-2457

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
I20080422000054 GA Practitioner - Internal Medicine 9133207814 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Mar 1, 2011 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients
Wellstar Neurosurgery Services, LLC Dba Wellstar Neurosurgery Past Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

320 Kennestone Hospital Blvd
Ste 201
Marietta, GA 30060
Phone (770) 427-2457

355 Tower Rd NE
Ste 300
Marietta, GA 30060
Phone (770) 426-4721

Interoperability endpoints

  • Direct secure messaging: ccrabbe7225@directwellstar.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1891784229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 KENNESTONE HOSPITAL BLVD",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601161",
            "telephone_number": "770-427-2457",
            "fax_number": "770-427-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KENNESTONE HOSPITAL BLVD",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601161",
            "telephone_number": "770-427-2457",
            "fax_number": "770-427-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABBE",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "022132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.