Active NPI
Crystal Barnwell, M.D.
- Family Medicine Physician
- Decatur, GA
National Provider Identifier
1992877468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042997
- Practice address
- 5040 Snapfinger Woods Dr
Suite 201a
Decatur, GA 30035-4020 - Phone
- (770) 808-8500
- Fax
- (678) 990-7511
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042997 | GA | Primary |
Addresses
Primary practice location
5040 Snapfinger Woods Dr
Suite 201a
Decatur, GA 30035-4020
Mailing address
5040 Snapfinger Woods Dr
Suite 201a
Decatur, GA 30035-4020
Phone (770) 808-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00834061B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230926003980 | GA | Order and Referring Only - Family Practice | 1557546371 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042997 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care of Georgia, P.C. | Family Medicine | Current | Accepting new patients |
| East Georgia Healthcare Center, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5040 Snapfinger Woods Dr
Ste 201
Decatur, GA 30035
Phone (419) 824-5203
117 Memorial Dr
Reidsville, GA 30453
Phone (912) 557-3300
215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBFFAA
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Decatur, GA
- NPI 1306040225
-
- Federally Qualified Health Center (FQHC)
- Reidsville, GA
- NPI 1093754905
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1992877468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5040 SNAPFINGER WOODS DR",
"address_2": "SUITE 201A",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354020",
"telephone_number": "770-808-8500",
"fax_number": "678-990-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 SNAPFINGER WOODS DR",
"address_2": "SUITE 201A",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354020",
"telephone_number": "770-808-8500",
"fax_number": "678-990-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNWELL",
"first_name": "CRYSTAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "042997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00834061B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.