Individual provider Active NPI

Crystal Barnwell, M.D.

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1992877468
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042997 Issued in GA
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

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00834061BMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926003980 GA Order and Referring Only - Family PracticePractitioner - 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042997GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care of Georgia, P.C. Family Medicine CurrentSince May 17, 2000 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.