Tabitha M Crocker
Driver • Belton, SC
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, Tabitha Crocker has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Tabitha Crocker was a registered Driver practicing in Belton, SC. Throughout an active medical career spanning 3 years, Tabitha Crocker provided care at the practice location at 331 T C BANNISTER RD until profile deactivation on 2025-05-15.
Practice Location & Contact Primary Location
331 T C Bannister Rd
Belton, SC 296278356
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Belton, SC
Practicing in Belton, SC (84 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 15, 2025
NPI status registered as active in NPPES database
Registered at 331 T C BANNISTER RD, BELTON, SC 296278356 (Tel: 8643539596)
Registered at 120 MATTISON DR, BELTON, SC 296272326 (Tel: 8643531441)
Recorded as TABITHA CROCKER
Driver (License #007804769 in SC)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
120 Mattison Dr
Belton, SC 296272326
Phone: 8643531441
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