STACY CRAWFORD (NPI# 1720471519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720471519 |
| Entity Type | Individual |
| Full Name | STACY CRAWFORD |
| Credential | NP |
| Practice Address |
11909 Mcauley Drive Suite 100 A2 Savannah GA 31419 |
| Mailing Address |
836 E. 65th Street Suite 22 Savannah GA 31405 |
| Practice Telephone | 9123548331 |
| Practice Fax Number | 9123529782 |
| Mailing Telephone | 9128197878 |
| Mailing Fax Number | 9128193320 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN186504 | GA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
186504 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
186504 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003192540A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023551884 | Stacy Crawford | Licensed Practical Nurse | 795 Patriot Pkwy, 208, Rock Hill, SC 29730-2336 | 2016-11-28 |
| 1144712480 | Stacy Lynn Crawford | Physical Therapy Assistant | 2990 Carlisle Pike, New Oxford, PA 17350-9582 | 2018-06-02 |
| 1578614814 | Stacy Crawford | Social Worker | 1815 Pleasant Grove Road, Jonesboro, AR 72401-7213 | 2007-01-15 |
| Street Address |
11909 MCAULEY DRIVE SUITE 100 A2 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538197355 | Norman Lee Yates IIi | Surgery | 11909 Mcauley Drive, Suite 100 A2, Savannah, GA 31419 | 2006-06-29 |
| 1023502903 | Angela Marie Hinely | Nurse Practitioner | 11909 Mcauley Drive, Suite 100 A2, Savannah, GA 31419 | 2018-06-14 |
| 1164829883 | St. Joseph's Vascular Group, LLC | Surgery | 11909 Mcauley Drive, Suite 100 A2, Savannah, GA 31419 | 2014-11-24 |
| 1982924502 | Kristy Michelle Wiebke | Surgery | 11909 Mcauley Drive, Suite 100 A2, Savannah, GA 31419 | 2010-06-05 |
| 1841459401 | Peter James Hunt | Surgery | 11909 Mcauley Drive, Suite 100 A2, Savannah, GA 31419 | 2008-06-08 |
| 1003083072 | Savannah Bone and Joint, P.C. | Specialist | 11909 Mcauley Drive, Suite 100 A2, Savannah, GA 31419-1794 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
| 1861038044 | Mara Dawne Carson | Nurse Practitioner | 1515 Benton Blvd Apt 1328, Savannah, GA 31407-0440 | 2019-11-21 |
| 1710534474 | Aaron Montover | Nurse Practitioner | 225 Candler Dr Ste 301, Savannah, GA 31405-6091 | 2019-08-19 |
| 1407227994 | James Doyle Herring IIi | Nurse Practitioner | 302 Surrey Rd, Savannah, GA 31410-4407 | 2015-10-09 |
| 1649646688 | Susan Ahle | Nurse Practitioner | 8 Dockside Dr, Savannah, GA 31410-2536 | 2015-08-13 |
| 1912554841 | Haley Brooke Mccain | Nurse Practitioner | 1326 Eisenhower Dr Bldg 2, Savannah, GA 31406-3928 | 2019-08-26 |
| 1356993679 | Lana Marie Stark | Nurse Practitioner | 107 Southern Blvd, Savannah, GA 31405-7437 | 2019-07-16 |
| 1700308509 | Tiffany Lee Boulanger | Nurse Practitioner | 12345 Mercy Blvd, Savannah, GA 31419-3436 | 2017-07-13 |
| 1205383130 | Beverly J Lippert | Nurse Practitioner | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2016-09-08 |
| 1679956056 | Stacy Creel | Nurse Practitioner | 6602 Waters Ave Bldg C, Savannah, GA 31406-2778 | 2015-07-03 |
| Find all providers in SAVANNAH | ||||
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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.