Individual provider Active NPI

Crystal Crowder, PA-C, ATC

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1982930699
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11127 Issued in GA
Practice address
2292 Peachtree Rd NW
Atlanta, GA 30309-1147
Phone
(404) 996-0120
Fax
(404) 351-6762
NPI assigned
Oct 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 06782 TX
Medical Physician Assistant 363AM0700X 9121239 FL
Medical Physician Assistant 363AM0700X 1721 AL
Physician Assistant 363A00000X 11127 GA Primary

Addresses

Primary practice location

2292 Peachtree Rd NW
Atlanta, GA 30309-1147

Mailing address

13 White Pine Way
Phenix City, AL 36869-7983
Phone (254) 681-2539

Other practice location 1

5221 Milford Rd
East Stroudsburg, PA 18302-9149
Phone (570) 588-6197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210428001176 AL Practitioner - Physician Assistant 1850417288 Reassigns benefits to 1 organization
I20221024001555 GA Practitioner - Physician Assistant 1850417288 Reassigns benefits to 1 organization
I20260407002135 FL Practitioner - Physician Assistant 1850417288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstreet of Georgia PC 425 clinicians
Orlando Carenow Urgent Care LLC 57 clinicians

Practice addresses (Care Compare)

1006 Hillcrest Pkwy
Suite 1
Dublin, GA 31021-4259
Phone (578) 354-4240

1328 N Woodland Blvd
Deland, FL 32720-2203
Phone (386) 738-0574

1363 Sam Nunn Blvd
Suite 200
Perry, GA 31069-2121
Phone (470) 750-2905

1909 N Columbia St
Milledgeville, GA 31061-2170
Phone (478) 354-4250

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2410 Ingleside Ave
Macon, GA 31204-2036
Phone (678) 695-6960

5791 Zebulon Rd
Suite a
Macon, GA 31210-2025
Phone (478) 845-4640

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1721ALMDAthletic Trainer
11127GAMDPhysician Assistant
9121239FLMDMedical Physician Assistant
06782TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Best Building and Embracing Sobriety Together Inc PastSince Oct 6, 2022 Accepting new patients
Sibbering and Mielnicki, Assoc.,PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ccrowder14073@direct.sw.org

Organizations & group practices 5

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1982930699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WHITE PINE WAY",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368697983",
            "telephone_number": "254-681-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091147",
            "telephone_number": "404-996-0120",
            "fax_number": "404-351-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5221 Milford Rd",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183029149",
            "country_code": "US",
            "telephone_number": "570-588-6197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "CRYSTAL",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "06782",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9121239",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "1721",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.