Individual provider Active NPI

Naa Jamah Crump, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1942723655
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009909 Issued in GA
Practice address
2000 Powers Ferry Rd SE
Ste 533
Marietta, GA 30067-9442
Phone
(770) 802-9687
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009909 GA Primary

Addresses

Primary practice location

2000 Powers Ferry Rd SE
Ste 533
Marietta, GA 30067-9442

Mailing address

2000 Powers Ferry Rd SE
Ste 533
Marietta, GA 30067-9442
Phone (770) 802-9687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200508000258 GA Practitioner - Chiropractic 2668803529 Practice locations: Marietta, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Powers Ferry Rd SE
Suite 2216
Marietta, GA 30067-1203
Phone (770) 802-9687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009909GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Chiropractic Chiropractor CurrentSince Feb 12, 2020 Accepting new patients

Locations

2000 Powers Ferry Rd SE
Ste 533
Marietta, GA 30067
Phone (770) 802-9687

2000 Powers Ferry Rd SE
Ste 2216
Marietta, GA 30067
Phone (770) 802-9687

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1942723655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 POWERS FERRY RD SE",
            "address_2": "STE 533",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679442",
            "telephone_number": "770-802-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 POWERS FERRY RD SE",
            "address_2": "STE 533",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679442",
            "telephone_number": "770-802-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "NAA",
        "middle_name": "JAMAH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.