Individual provider Active NPI

Lauren Crouse

  • Physician Assistant
  • Johns Island, SC
National Provider Identifier
1962135012
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4515 Issued in SC
Practice address
1814 Crowne Commons Way Ste E7
Johns Island, SC 29455-4932
Phone
(843) 881-4440
Fax
(843) 737-5288
NPI assigned
Jul 6, 2022
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4515 SC Primary

Addresses

Primary practice location

1814 Crowne Commons Way Ste E7
Johns Island, SC 29455-4932

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

602 N Main St
Summerville, SC 29483-6627
Phone (843) 881-4440

Other practice location 2

612 Seacoast Pkwy
MT Pleasant, SC 29464-8247
Phone (843) 881-4440

Other practice location 3

14490 Ocean Hwy
Pawleys Island, SC 29585-4821
Phone (843) 881-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240405000181 SC Practitioner - Physician Assistant 7810335197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1814 Crowne Commons Way
Suite E7
Johns Island, SC 29455-4932
Phone (843) 881-4440

612 Seacoast Pkwy
Mt Pleasant, SC 29464-8247
Phone (843) 881-4440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4515SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jun 7, 2024 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jun 7, 2024 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

1814 Crowne Commons Way
Ste E7
Johns Island, SC 29455
Phone (843) 881-4440

612 Seacoast Pkwy
Mt Pleasant, SC 29464
Phone (843) 881-4440

612 Seacoast Pkwy
#201
Mt Pleasant, SC 29464
Phone (843) 881-4440

14490 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 545-8850

602 N Main St
Summerville, SC 29483
Phone (843) 876-2121

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1962135012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 CROWNE COMMONS WAY STE E7",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554932",
            "telephone_number": "843-881-4440",
            "fax_number": "843-737-5288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 N Main St",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294836627",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-225-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Seacoast Pkwy",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294648247",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-884-8540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14490 Ocean Hwy",
            "address_purpose": "LOCATION",
            "city": "Pawleys Island",
            "state": "SC",
            "postal_code": "295854821",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-314-0785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

Verify at the official NPI Registry.