AMY HAIRSTON CROCKETT (NPI# 1568550937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568550937 |
| Entity Type | Individual |
| Full Name | AMY HAIRSTON CROCKETT |
| Other Name | AMY HAIRSTON PICKLESIMER |
| Credential | M.D. |
| Practice Address |
890 W Faris Rd Ste 470 Greenville SC 29605-4281 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644551600 |
| Practice Fax Number | 8644553095 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
29528 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 295282 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431407 | Amy B. Crockett | Psychologist | 1290 Williams St, Suite 301, Denver, CO 80218-2600 | 2005-07-19 |
| Street Address |
890 W FARIS RD STE 470 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680116 | Regina A Franco | Nurse Practitioner | 890 W Faris Rd, Ste 320, Greenville, SC 29605-4253 | 2005-06-21 |
| 1568996130 | Kayla Hauss Smith | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2017-04-20 |
| 1508390188 | Lindsay Elizabeth Eller Young | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2017-04-20 |
| 1811420367 | Angela Marie Rodi | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2017-04-11 |
| 1952834491 | Abigael Lynn Dishler | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2017-04-11 |
| 1609329861 | Prisma Health-upstate | Clinic/Center | 890 W Faris Rd, Suite 560, Greenville, SC 29605-4253 | 2016-07-25 |
| 1376994210 | Dylan Clay Solise | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2016-06-22 |
| 1568812139 | Meredith Leigh Aragon | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2016-06-15 |
| 1447629316 | Maria L Smith | Physician Assistant | 890 W Faris Rd, Suite 100, Greenville, SC 29605-4253 | 2015-09-21 |
| 1710368402 | Amanda Therese Brauss | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2015-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477872166 | Anne Dawn Maria Graham | Obstetrics & Gynecology | 150 Foot Hills Rd, Greenville, SC 29617-7002 | 2010-05-20 |
| 1669572434 | Upstate Maternal-fetal Medicine, Pa | Obstetrics & Gynecology | 373 Halton Road, Greenville, SC 29607 | 2006-09-22 |
| 1013956713 | John V Dacus | Obstetrics & Gynecology | 890 W Faris Rd Ste 470, Greenville, SC 29605-4281 | 2006-06-06 |
| 1225390107 | Andrew Scott Lane | Obstetrics & Gynecology | 890 W Faris Rd Ste 470, Greenville, SC 29605-4281 | 2012-06-15 |
| 1992076376 | St Francis Physician Services Inc | Obstetrics & Gynecology | 373 Halton Rd, Greenville, SC 29607-3405 | 2012-01-18 |
| 1922243674 | Spartanburg Regional Med Ctr | Obstetrics & Gynecology | 373 Halton Rd, Greenville, SC 29607-3405 | 2008-12-10 |
| 1003074808 | Megan Malone Schellinger | Obstetrics & Gynecology | 890 W Faris Rd, Ste 470, Greenville, SC 29605-4253 | 2008-05-28 |
| 1316168040 | Kacey Young Eichelberger | Obstetrics & Gynecology | 890 W Faris Rd, Ste 470, Greenville, SC 29605-4253 | 2007-05-01 |
| 1851491633 | Phillip Carnegie Greig | Obstetrics & Gynecology | 373 Halton Road, Greenville, SC 29607 | 2006-09-22 |
| 1780630533 | Shelley Janeece Chapman | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4247 | 2006-05-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.