GRACE CRAWFORD


Address: 1 Freedom Way, Augusta, GA 30904-6258
Phone: 7067330188

GRACE CRAWFORD (NPI# 1174584221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174584221
Entity Type Individual
Full Name GRACE CRAWFORD
Credential MD
Practice Address 1 Freedom Way
Augusta
GA 30904-6258
Practice Telephone 7067330188
Practice Fax Number 7067295922
Mailing Telephone 7067330188
Mailing Fax Number 7064816791
Enumeration Date 2006-03-29
Last Update Date 2019-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 060571 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA TAX ID 223858253 01
VA 1174584221 05
NY 02641514 05

Other Providers GRACE CRAWFORD

NPI Name Taxonomy Address Enumeration
1265913909 Grace Florence Crawford Physical Therapy Assistant 1154 E Hawkins Pkwy, Longview, TX 75605-7975 2018-08-21
1366824658 Grace I Crawford Physical Therapist 4848 S 76th St Ste 203, Greenfield, WI 53220-4361 2015-06-23
1700144979 Grace Crawford Counselor 475 Providence Main St Nw Ste 401, Huntsville, AL 35806-4818 2012-04-25

Office Location

Street Address 1 FREEDOM WAY
City AUGUSTA
State GA
Zip Code 30904-6258

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912900713 Robert Leon Longe Pharmacist 1 Freedom Way, Augusta, GA 30904-6258 2005-05-24
1609476951 Melissa Ann Cotton Dentist 1 Freedom Way, Augusta, GA 30904-6258 2020-10-27
1487253217 Kelsey Shull Recreation Therapist 1 Freedom Way, Augusta, GA 30904-6258 2020-10-22
1437758844 Angela Marie Brown Social Worker 1 Freedom Way, Augusta, GA 30904-6258 2020-10-19
1538767819 Stephen William Montgomery Music Therapist 1 Freedom Way, Augusta, GA 30904-6258 2020-10-09
1134726631 Rebecca Leigh Halioua Recreation Therapist 1 Freedom Way, Augusta, GA 30904-6258 2020-10-07
1104435718 Vincent Michael Fitch Psychologist 1 Freedom Way, Augusta, GA 30904-6258 2020-07-29
1558988162 Amanda Draheim Psychologist 1 Freedom Way, Augusta, GA 30904-6258 2020-06-30
1174140784 Tiffany Ariel Graves Student in an Organized Health Care Education/Training Program 1 Freedom Way, Augusta, GA 30904-6258 2020-06-30
1982221776 Janice J Anglin Dietitian, Registered 1 Freedom Way, Augusta, GA 30904-6258 2020-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518423706 Lawren Murray Tachias Registered Nurse 950 15th Street Downtown, Augusta, GA 30904 2019-02-13
1457851842 Heba Ahmed Pharmacist 912 15th Street, Augusta, GA 30904 2018-02-13
1124552690 Jenny Liles Student in an Organized Health Care Education/Training Program 1004 Chafee Ave, Augusta, GA 30904 2017-04-11
1932640836 Claudia Crawford Student in an Organized Health Care Education/Training Program 2624 Oakland Ave., Augusta, GA 30904 2017-03-13
1801240528 F. Marion Durst IIi Dmd PC Clinic/Center 2325 Washington Road, Augusta, GA 30904 2016-04-19
1689031296 Teresa Maria Martin Counselor 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 2016-01-27
1598122269 Jillian Wilkerson Counselor Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 2016-01-26
1760855241 Chase King Occupational Therapist 1735 Berkeley Rd, Augusta, GA 30904 2015-11-05
1962832246 April Underwood Fox Physician Assistant 1417 Pendleton Rd, Augusta, GA 30904 2013-11-22
1861734378 John Graham Theisen Obstetrics & Gynecology 810 Chafee Avenue, Augusta, GA 30904 2013-03-22
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598380842 David Reynolds Cromer Internal Medicine 528 Walden Hills Ct, Augusta, GA 30909-0225 2020-06-12
1114542305 Graham Skelton Internal Medicine 1480 Wrightsboro Rd Apt 6104, Augusta, GA 30901-3274 2020-06-12
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1467015628 Adam Nikolas Davis Internal Medicine 1120 5th St, Augusta, GA 30912-0001 2019-04-15
1528621661 Chadwick Scott Fitzgerald Internal Medicine 1459 Laney Walker Blvd Ste Ae3042, Augusta, GA 30912-0002 2019-04-15
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1326501560 Awlad Hossain Bhuiyan Internal Medicine 120 15th St, Augusta, GA 30912-0001 2019-04-12
1033601315 Mohammad Umair Azam Internal Medicine 1120 15th St # Bi5070, Augusta, GA 30912-0004 2018-06-03
1942732334 Jennifer Espinal Internal Medicine 3651 Wheeler Rd Ofc, Augusta, GA 30909-6521 2017-04-03
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
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Competitor

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City AUGUSTA
Zip Code 30904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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