Organization Active NPI

CPS Infusion, LLC

  • Plastic Surgery Physician
  • Kennesaw, GA
National Provider Identifier
1982308318
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
CPS INFUSION, LLC
Practice address
3450 Acworth Due West Rd NW Ste 200
Kennesaw, GA 30144-1078
Phone
(770) 618-9616
Fax
(770) 618-9617
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Marcus H Crawford, MDNPI 1770787582
Title
Owner
Phone
(770) 618-9616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

3450 Acworth Due West Rd NW Ste 200
Kennesaw, GA 30144-1078

Mailing address

3450 Acworth Due West Rd NW Ste 200
Kennesaw, GA 30144-1078
Phone (770) 618-9616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250331001861 GA Part B Supplier - Clinic/Group Practice 3476076431 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, GA; Buford, GA; Watkinsville, GA; Tyrone, GA; Savannah, GA; Macon, GA; Kennesaw, GA; Decatur, GA

National Provider Directory

National Provider Directory

Locations

3907 Macon Rd
Columbus, GA 31907

1201 Clairmont Rd
Ste 110
Decatur, GA 30030
Phone (404) 378-0441

3450 Acworth Due West Rd NW
Ste 220
Kennesaw, GA 30144
Phone (770) 794-6643

500 Swanson Rd
Ste 3
Tyrone, GA 30290
Phone (770) 794-6643

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1982308318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW STE 200",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441078",
            "telephone_number": "770-618-9616",
            "fax_number": "770-794-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW STE 200",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441078",
            "telephone_number": "770-618-9616",
            "fax_number": "770-618-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPS INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-618-9616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.