RANDY SCOTT CROCKER (NPI# 1790243814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790243814 |
| Entity Type | Individual |
| Full Name | RANDY SCOTT CROCKER |
| Practice Address |
5615 Handley Blvd Morrow GA 30260-3919 |
| Mailing Address |
Po Box 119 Morrow GA 30260-0119 |
| Practice Telephone | 4049872166 |
| Mailing Telephone | 4049872166 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| Street Address |
5615 HANDLEY BLVD |
| City | MORROW |
| State | GA |
| Zip Code | 30260-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
| 1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
| 1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
| 1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
| 1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
| 1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
| 1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
| 1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
| 1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
| 1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
| Find all providers in zip 30260 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285194829 | Regional Ambulance Service, LLC | Ambulance | 2054 Rex Rd Ste 5c, Morrow, GA 30260-3970 | 2019-03-20 |
| 1982637120 | Salem Township Trustees | Ambulance | 5270 E Us 22 and 3, Morrow, OH 45152-1215 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854280 | Conquest Medical Transport, LLC | Ambulance | 182 Riley Ave Ste F1, Macon, GA 31204-0777 | 2020-06-05 |
| 1184268393 | Atlanta Ems Lllp | Ambulance | 2555 Marietta Hwy Ste 205b, Canton, GA 30114-7054 | 2019-10-30 |
| 1295376838 | Luke Medical Transport LLC | Ambulance | 260 International Pkwy Ste 132, Dallas, GA 30157-5706 | 2019-10-04 |
| 1619521366 | Sure Care Ems | Ambulance | 2136 W Park Ct Bldg 2, Stone Mountain, GA 30087-3528 | 2019-07-31 |
| 1184278848 | Person To Person Transportation Service L.l.c | Ambulance | 6724 Church St Ste 3, Riverdale, GA 30274-4711 | 2019-07-30 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1699337717 | Priscilla Mark-wilson | Ambulance | 3350 Noor Way, Douglasville, GA 30135-8172 | 2019-06-29 |
| 1114491438 | 1st Responders 2 Ems | Ambulance | 155 Westridge Pkwy Ste 113, Mcdonough, GA 30253-3050 | 2019-01-21 |
| 1710451000 | Lifelineemergency Medical Services, LLC. | Ambulance | 309 Matthews Ave Ste B, Carrollton, GA 30117-3629 | 2019-01-20 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| Find all providers with the same taxonomy | ||||
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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.