Cheryl Jeannetta Crockett, RN

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN151533 Issued in GA

Practice address

4485 S Cobb Dr SE Ste 100
Smyrna, GA 30080-6957

Phone

(404) 768-1133

Fax

(404) 768-0309

NPI assigned

Mar 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Orthopaedics of Atlanta, PC

  • Health Maintenance Organization
  • Smyrna, GA
  • NPI 1871776922
  NPD

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1952937450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 S COBB DR SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806957",
            "telephone_number": "404-768-1133",
            "fax_number": "404-768-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 S COBB DR SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806957",
            "telephone_number": "404-768-1133",
            "fax_number": "404-768-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "CHERYL",
        "middle_name": "JEANNETTA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN151533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Crafton
• Creative Balance
• Michael E. Creekmore Jr., LPC
• Creekside Opco LLC
• Taunya D Crenshaw
• Milton Croes, DC
• Crosspoint Surgical Assistants
• Anna Kate Crumbliss, LCSW
• Stella Dimaris Cruz Rodriguez, PSYD
• Crystal Clear Language Services, Inc.

• Registered Nurse First Assistant in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Registered Nurse First Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.