Sidney S Crosby, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10439 Issued in AL

Practice address

227 Hospital Dr
Jackson, AL 36545-2423

Phone

(251) 246-4446

Fax

(251) 246-5111

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Mississippi School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of Jackson Healthcare AuthorityGroup PAC ID 2062950199, 16 clinicians

GHS JMC Clinics LLCGroup PAC ID 6800191107, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Medical Center Home Health Home health agency, Jackson, AL, CCN 017112
• Amedisys Home Health of Selma Home health agency, Selma, AL, CCN 017320
• Southerncare Greenville Hospice, Greenville, AL, CCN 011655
• Jackson Medical Center Hospital, Jackson, AL, CCN 010128
• Jackson Health Care Facility Nursing home, Jackson, AL, CCN 015188

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sid.crosby@imcfammed.direct.medconnect-inc.com

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.

• City of Jackson Healthcare Authority

  • Family Medicine Physician
  • Jackson, AL
  • NPI 1366808404
  Medicare reassignment Care Compare group NPD
• Imc-Family Medical of Jackson, PC

  • Rural Health Clinic/Center
  • Jackson, AL
  • NPI 1750393682

  Family Medicine

  Medicare reassignment NPD Authorized official
• City of Jackson Healthcare Authority

  • Rural Acute Care Hospital
  • Jackson, AL
  • NPI 1952427874
  Medicare reassignment NPD
• City of Jackson Healthcare Authority

  • Home Health Agency
  • Jackson, AL
  • NPI 1770593204
  NPD

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

• Amedisys Alabama, LLC

  • Home Health Agency
  • Selma, AL
  • NPI 1033177332
  Care Compare affiliation
• City of Jackson Healthcare Authority

  • Home Health Agency
  • Jackson, AL
  • NPI 1770593204
  Care Compare affiliation
• City of Jackson Healthcare Authority

  • Rural Acute Care Hospital
  • Jackson, AL
  • NPI 1952427874
  Care Compare affiliation
• Jackson Health Care Facility, LLC

  • Nursing Facility/Intermediate Care Facility
  • Jackson, AL
  • NPI 1538128095

  Nursing home

  Care Compare affiliation
• Southerncare, Inc.

  • Community Based Hospice Care Agency
  • Greenville, AL
  • NPI 1639112410
  Care Compare affiliation

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243209600000",
    "number": "1982604948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365450639",
            "telephone_number": "251-246-4446",
            "fax_number": "251-246-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 HOSPITAL DR",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452423",
            "telephone_number": "251-246-4446",
            "fax_number": "251-246-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "SIDNEY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2009-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541392602",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750393682",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982604948",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1750393682",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "37556",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529700760",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051037556",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003926",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "F712",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Jackson Healthcare Authority
• City of Jackson Healthcare Authority
• City of Jackson Healthcare Authority
• Clubhouse Autism and Developmental Center LLC
• Jessie Louise Criswell, CRNP
• Crystal'S Helping Hand'S
• Jennifer Tolbert Dowling, CRNP
• Kimberly P Duff
• Robert Edward Edge, O.D.
• Encore Rehabilitation, Inc.

• Family Medicine Physician in Jackson, AL
• Providers in Jackson, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.