Individual provider Active NPI

Franklin Chase Crumpton, PA-C

  • Medical Physician Assistant
  • Tupelo, MS
National Provider Identifier
1922523026
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3362 Issued in TN
Practice address
1211 S Gloster St Ste a
Tupelo, MS 38801-6548
Phone
(662) 767-4200
Fax
(662) 767-4201
NPI assigned
Aug 9, 2017
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3362 TN Primary
Surgical Physician Assistant 363AS0400X 3362 TN

Addresses

Primary practice location

1211 S Gloster St Ste a
Tupelo, MS 38801-6548

Mailing address

1211 S Gloster St
Tupelo, MS 38801-6546
Phone (662) 767-4200

Other practice location 1

118 Fairfield Dr
New Albany, MS 38652-3107
Phone (662) 767-4200

Other practice location 2

2778 Highway 51 S
Senatobia, MS 38668-9403
Phone (662) 767-4200

Other identifiers 4

IdentifierTypeStateIssuer
3362OtherTNSTATE LICENSE
1136178OtherTNNCCPA
1136178OtherMSNCCPA
PA00505OtherMSSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200923001475 MS Practitioner - Physician Assistant 9739445982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

118 Fairfield Dr
New Albany, MS 38652-3107
Phone (662) 767-4200

1211 S Gloster St
Suite a
Tupelo, MS 38801-6548
Phone (662) 767-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Orthopedic Group of Ms, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC CurrentSince Jun 1, 2022 Accepting new patients
MSK Group PC CurrentSince Jun 18, 2020 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Past Accepting new patients

Locations

118 Fairfield Dr
New Albany, MS 38652
Phone (662) 534-0898

7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347

Interoperability endpoints

  • Direct secure messaging: fcrumpton76964@direct.bmhcc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1922523026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016546",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016548",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523107",
            "country_code": "US",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2778 Highway 51 S",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386689403",
            "country_code": "US",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMPTON",
        "first_name": "FRANKLIN",
        "middle_name": "CHASE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3362",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "3362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3362",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1136178",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1136178",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA00505",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.