MR. RANDALL TERRY CRAWFORD JR. (NPI# 1740678739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740678739 |
| Entity Type | Individual |
| Full Name | MR. RANDALL TERRY CRAWFORD JR. |
| Practice Address |
101 Harris Industrial Blvd Suite A Vidalia GA 30474-8852 |
| Mailing Address |
Po Box 407 Vidalia GA 30475-0407 |
| Practice Telephone | 9125353500 |
| Mailing Telephone | 9125374986 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN195783 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679891477 | Randall Clarke Crawford | Counselor | 836 Anchor Rode Dr, Naples, FL 34103-2739 | 2010-05-04 |
| 1184605297 | Randall Scott Crawford | Pharmacist | 1640 S Washington St, Millersburg, OH 44654-8901 | 2005-11-07 |
| 1720397730 | Randall Jay Crawford | Chiropractor | 1364 Interstate Dr, Suite 101, Crossville, TN 38555-6187 | 2010-09-26 |
| Street Address |
101 HARRIS INDUSTRIAL BLVD SUITE A |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-8852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093702540 | Hubert Mccrary Suber | Obstetrics & Gynecology | 101 Harris Industrial Blvd, Suite C, Vidalia, GA 30474-8852 | 2005-09-30 |
| 1538779624 | Taylor Alexandria Andre | Nurse Practitioner | 101 Harris Industrial Blvd, Vidalia, GA 30474-8852 | 2020-08-04 |
| 1871064956 | Bailey Brooks | Physical Therapist | 101 Harris Industrial Blvd, Vidalia, GA 30474-8852 | 2018-12-16 |
| 1174003180 | Wilton Todd Carter | Massage Therapist | 101 Harris Industrial Blvd, Vidalia, GA 30474-8852 | 2018-08-19 |
| 1346649613 | Carolyn Cabe | Nurse Practitioner | 101 Harris Industrial Blvd, Ste C, Vidalia, GA 30474-8852 | 2014-08-22 |
| 1720412265 | Mindy Shook Ellis | Specialist/Technologist | 101 Harris Industrial Blvd, Vidalia, GA 30474-8852 | 2013-08-31 |
| 1164747978 | Margaret Fairley Wood | Speech-Language Pathologist | 101 Harris Industrial Blvd, Vidalia, GA 30474-8852 | 2010-04-05 |
| 1740503440 | Southeast Regional Cardiac and Vascular Institute, LLC | Internal Medicine | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 | 2010-03-09 |
| 1528224185 | Scott Orthopaedic and Spine Center LLC | Orthopaedic Surgery | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 | 2008-08-04 |
| 1467658666 | Karen Joan Mccoll | Obstetrics & Gynecology | 101 Harris Industrial Blvd, Suite C, Vidalia, GA 30474-8845 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591120 | Elisabeth Ann Proenza | Nurse Practitioner | 1804 Seminole Dr, Vidalia, GA 30474-7216 | 2020-05-31 |
| 1750914925 | Susan J Montford | Nurse Practitioner | Accordia Urgent Care & Family Practice, 3193 E 1st St, Vidalia, GA 30474-3047 | 2020-02-17 |
| 1821552068 | Shonte' Patrice Daniels | Nurse Practitioner | 107 Front St Ste 2134, Vidalia, LA 71373-2834 | 2019-01-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1750880373 | Amanda Shai Hobbs | Nurse Practitioner | 907 Adams St, Vidalia, GA 30474-4903 | 2018-02-09 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1235544339 | Raven M. Campbell | Nurse Practitioner | 329 Leo Ivy Rd, Vidalia, LA 71373-4301 | 2014-06-26 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1912238460 | Bradley H Young | Nurse Practitioner | 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 | 2010-01-22 |
| 1023062577 | Dana M Avist | Nurse Practitioner | 1700 Adams St, Vidalia, GA 30474-5557 | 2006-05-20 |
| Find all providers in VIDALIA | ||||
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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.