MARK A CRUMP (NPI# 1558362897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558362897 |
| Entity Type | Individual |
| Full Name | MARK A CRUMP |
| Credential | MD |
| Practice Address |
708 S 8th St Griffin GA 30224-4827 |
| Practice Telephone | 7702285402 |
| Practice Fax Number | 7704126917 |
| Mailing Telephone | 7702285402 |
| Mailing Fax Number | 7704126917 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 28957 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | TAX ID | 581936002 | 01 |
| GA | 000332758A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942590708 | Mark Crump | Pharmacist | 3369 Hickory Blvd, Hudson, NC 28638-9024 | 2011-04-13 |
| 1578530366 | Mark R Crump | Family Medicine | 353 Cash Rd Sw, Camden, AR 71701-3704 | 2006-03-01 |
| Street Address |
708 S 8TH ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710029947 | Mark A. Crump, Md, PC | Internal Medicine | 708 S 8th St, Griffin, GA 30224-4827 | 2007-02-13 |
| 1235131350 | Clarence Buren Glover Jr. | Physician Assistant | 708 S 8th St, Griffin, GA 30224-4827 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811276553 | Inder Sumrat Tandon | Internal Medicine | 226 E College St Ste B, Griffin, GA 30224-4348 | 2011-08-11 |
| 1285755157 | Spalding Regional Physician Services, LLC | Internal Medicine | 655 Will St, Griffin, GA 30224-4236 | 2007-04-02 |
| 1306923792 | Vinod C Mehta Md PC | Internal Medicine | 546b S 8th St, Griffin, GA 30224-4212 | 2006-11-01 |
| 1790713550 | Patricia M Haibach | Internal Medicine | 601 South Eight Street - Hospital Medicine Department, Spalding Regional Medical Center, Griffin, GA 30224 | 2006-06-29 |
| 1639146293 | Ehi Philip Osehobo | Internal Medicine | 230 West College St, Ste B, Griffin, GA 30224-4121 | 2006-03-02 |
| 1902800899 | Mahmood Ahmed | Internal Medicine | 231 Graefe St, Griffin, GA 30224-4222 | 2005-06-08 |
| 1720082613 | Brian Cross | Internal Medicine | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2005-06-08 |
| 1124367305 | Terri Parks Cannon | Internal Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2013-02-07 |
| 1053660969 | Cyril Anara | Internal Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2012-09-06 |
| 1699955377 | Kabir Kumar Das | Internal Medicine | 231 Graefe St, Griffin, GA 30224-4222 | 2007-11-09 |
| Find all providers in GRIFFIN | ||||
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| 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.