Active NPI
James Luther Crabb, MD
- Family Medicine Physician
- Jackson, TN
National Provider Identifier
1922047489
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD7971
- Practice address
- 176 W University Pkwy Ste C
Jackson, TN 38305-1618 - Phone
- (731) 660-6915
- Fax
- (731) 668-4557
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 07971 | TN | |
| Family Medicine Physician | 207Q00000X | MD7971 | TN | Primary |
| Ophthalmology Physician | 207W00000X | MD7971 | TN |
Addresses
Primary practice location
176 W University Pkwy Ste C
Jackson, TN 38305-1618
Mailing address
36 Northwood Ave
Jackson, TN 38301-4450
Phone (731) 394-4596
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4175853 | Other | TN | BCBS |
| P00233179 | Other | TN | RAILROAD MEDICARE |
| 4108241 | Other | TN | BCBS |
| 31528111 | Other | TN | MEDICAID |
| 3152816 | Medicaid | TN |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07971 | TN | MD | Emergency Medicine Physician |
| MD7971 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone County Hospital, Inc | Past | Accepting new patients | |
| Tishomingo Health Services, Inc. | Past | Accepting new patients | |
| Memphis Urgent Care #2, LLC. | Family Medicine | Past | Accepting new patients |
| Decatur County General Hospital | Past | Accepting new patients | |
| Tishomingo Health Services, Inc. | Past | Accepting new patients | |
| Beechlake Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Lexington, TN
- NPI 1124077748
Emergency Medicine
-
- General Acute Care Hospital
- Parsons, TN
- NPI 1104804566
-
- Ambulance
- Wiggins, MS
- NPI 1003073057
-
- Clinic/Center
- Belmont, MS
- NPI 1295105922
-
- General Acute Care Hospital
- Iuka, MS
- NPI 1548376700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1922047489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 NORTHWOOD AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383014450",
"telephone_number": "731-394-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 W UNIVERSITY PKWY STE C",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051618",
"telephone_number": "731-660-6915",
"fax_number": "731-668-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABB",
"first_name": "JAMES",
"middle_name": "LUTHER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "07971",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD7971",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "MD7971",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4175853",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00233179",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4108241",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "31528111",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3152816",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.