| Christie Rae Crump, NP | |
|
367 Clear Creek Pkwy, Lavonia, GA 30503-0658 | |
| (770) 219-7078 | |
| (770) 219-7365 |
| Full Name | Christie Rae Crump |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 367 Clear Creek Pkwy, Lavonia, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134436322 | NPI | - | NPPES |
| 567122 | Other | GA | WELLCARE |
| 222017877C | Medicaid | GA | |
| 222017877B | Medicaid | GA | |
| 222017877E | Medicaid | GA | |
| 01377753 | Other | GA | AMERIGROUP |
| 222017877A | Medicaid | GA | |
| 222017877D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN155758 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ty Cobb Regional Medical Center, Llc | Lavonia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-georgia Hospitalists Pc | 4789124496 | 12 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Vituity-georgia Hospitalists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366291882 PECOS PAC ID: 4789124496 Enrollment ID: O20240909004151 |
| Mailing Address | Practice Location Address |
|---|---|
| Christie Rae Crump, NP Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Christie Rae Crump, NP 367 Clear Creek Pkwy, Lavonia, GA 30503-0658 Ph: (770) 219-7078 |
Ansley Pulsifer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 Clear Creek Pkwy Ste 1005, Lavonia, GA 30553 Phone: 770-800-3455 Fax: 770-450-8024 | |
Victoria Lynn Jordan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 Fax: 706-356-1457 | |
Amy Beth Freeman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 | |
Ms. Natalie Ann Chambers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 | |
Ms. Ruth L Tellano-daniel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 367 Clear Creek Pkwy, Lavonia, GA 30553 Phone: 706-356-7800 | |
Kerri L Wiley, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 12192 Augusta Road, Lavonia, GA 30553 Phone: 706-356-1072 Fax: 706-356-1457 |