Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790243814 Deactivated / Inactive NPI Male Practitioner

Randy Scott Crocker

Ambulance • Morrow, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Randy Crocker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2019
NPI Deactivation Date March 21, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Randy Crocker was a registered Ambulance practicing in Morrow, GA. Throughout an active medical career spanning 1 years, Randy Crocker provided care at the practice location at 5615 HANDLEY BLVD until profile deactivation on 2019-03-21.

Practice Location & Contact Primary Location

Practice Address

5615 Handley Blvd

Morrow, GA 302603919

Telephone 4049872166
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ambulance in Morrow, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Morrow, GA (13 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ambulance Primary Specialty

NUCC Taxonomy Code: 341600000X

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).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated March 21, 2019

Record deactivated on March 21, 2019

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NPI Profile Deactivated March 20, 2019

Record deactivated on March 20, 2019

NPI Profile Active March 07, 2019

NPI status registered as active in NPPES database

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Updated Practice Location March 07, 2019

Registered at 5615 HANDLEY BLVD, MORROW, GA 302603919 (Tel: 4049872166)

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Updated Business Mailing Address March 07, 2019

Registered at PO BOX 119, MORROW, GA 302600119 (Tel: 4049872166)

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Provider Name / Credentials Updated March 07, 2019

Recorded as RANDY CROCKER

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2019

Ambulance

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Initial NPI Registration & Enumeration March 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790243814
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2019
Last Update: March 07, 2019
Deactivation Date: March 21, 2019

Mailing Address

Po Box 119

Morrow, GA 302600119

Phone: 4049872166

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.