DR. AUDREY SHIELDS CRUMBLEY (NPI# 1639263106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639263106 |
| Entity Type | Individual |
| Full Name | DR. AUDREY SHIELDS CRUMBLEY |
| Credential | M.D. |
| Practice Address |
821 N. Cobb St. Milledgeville GA 31061 |
| Mailing Address |
213 O'conner Drive Milledgeville GA 31061 |
| Practice Telephone | 4784543795 |
| Practice Fax Number | 4784543969 |
| Mailing Telephone | 4784545908 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 053031 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 053031 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 429736064D | 05 |
| Street Address |
821 N. COBB ST. |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104919737 | Robert B Little | Emergency Medicine | 821 N. Cobb St., Milledgeville, GA 31061 | 2006-10-02 |
| 1942395173 | John R Mclaren | Emergency Medicine | 821 N. Cobb St., Milledgeville, GA 31061 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1629619945 | Gini M Ellis | Counselor | Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 | 2019-10-08 |
| 1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
| 1467923805 | Adam Tocio | Specialist/Technologist | 350 W. Washington St., Milledgeville, GA 31061 | 2018-12-11 |
| 1487170304 | Aubrey Martin | Specialist/Technologist | 251 S Clark St., Milledgeville, GA 31061 | 2017-08-22 |
| 1427573054 | Heritagefirst Home Care Inc. | In Home Supportive Care | 1277 Twin Pine Road, Milledgeville, GA 31061 | 2017-08-04 |
| 1851813893 | Brittany Shantrel Primas | Nurse Practitioner | 102 A Airport Road Ne, Milledgeville, GA 31061 | 2017-07-12 |
| 1609300839 | Samantha Weldon | Behavioral Analyst | 174 Stewart Dr Nw, Milledgeville, GA 31061 | 2017-04-14 |
| 1427425230 | Foster Deariso | Specialist/Technologist | 251 S Clarke St, Milledgeville, GA 31061 | 2015-08-27 |
| 1023406279 | Llewelyn Garillos | Occupational Therapist | 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 | 2014-12-22 |
| Find all providers in zip 31061 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104919737 | Robert B Little | Emergency Medicine | 821 N. Cobb St., Milledgeville, GA 31061 | 2006-10-02 |
| 1760497317 | Akinlolu Omitowoju | Emergency Medicine | 2955 N Columbia St, Milledgeville, GA 31061-8795 | 2006-07-30 |
| 1528297942 | Sophenia Rebecca Gay | Emergency Medicine | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2009-07-07 |
| 1295971331 | James Franklin Hatcher Jr. | Emergency Medicine | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2008-12-19 |
| 1629227145 | William G Costello | Emergency Medicine | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2008-09-09 |
| 1366651507 | Gregory Daniel Bennett | Emergency Medicine | 821 N Cobb St, Milledgeville, GA 31061 | 2007-05-22 |
| 1942395173 | John R Mclaren | Emergency Medicine | 821 N. Cobb St., Milledgeville, GA 31061 | 2006-10-04 |
| 1063503233 | Tayyab Fayyaz Bhutta | Emergency Medicine | 1850 N Columbia St, Suite 3, Milledgeville, GA 31061-2385 | 2006-09-27 |
| 1487673232 | Sarah Rose Mack | Emergency Medicine | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2006-07-19 |
| 1003858242 | Carol Scott | Emergency Medicine | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2006-06-12 |
| Find all providers in MILLEDGEVILLE | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
Please comment or provide details below to improve the information on DR. AUDREY SHIELDS CRUMBLEY.
| 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.