MR. JACE JOHN CRAWFORD (PA-C) – Medical Physician Assistant, NPI 1174065411

MR. JACE JOHN CRAWFORD (PA-C) is a healthcare provider. based in Covington, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MR. JACE JOHN CRAWFORD (PA-C) is 1174065411

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACE JOHN CRAWFORD (PA-C)
NPI
1174065411
Phone
(770) 786-7053
Address
5126 HOSPITAL DR NE
Enumeration Date
16 November 2016
Last Update Date
16 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702228900
Graduation Year
2016 (10 years ago)
PAC ID
4587949839
Group Practice PAC ID
3274559323
Professional Enrollment ID
I20170328002984
Address ID
GA301412804HI3827XPKWY500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MR. JACE JOHN CRAWFORD (PA-C)

  • Piedmont Newton Hospital, 5126, Hospital Drive Northeast, Covington, Newton County, Georgia, 30014, United States

    COVINGTON, GA 300142566

    Phone: (770) 786-7053

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170328002984IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg10714$0
99214Established patient office or other outpatient visit, 30-39 minutes7370$0
87804Detection test by immunoassay with direct visual observation for influenza virus6634$0
99204New patient office or other outpatient visit, 45-59 minutes5858$0
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc4342$0
View full utilization report →

Insurance plans in this area (ZIP 30014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274559323View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family Practice, Physical Medicine And RehabilitationGA
Nurse PractitionerGA
-GA
-GA

Reviews

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Frequently asked questions

How do payers reference MR. JACE JOHN CRAWFORD (PA-C)?
For MR. JACE JOHN CRAWFORD (PA-C), use NPI 1174065411 as the unique 10-digit identifier.
Would MR. JACE JOHN CRAWFORD (PA-C) appear as active to a payer?
You can treat MR. JACE JOHN CRAWFORD (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. JACE JOHN CRAWFORD (PA-C)?
At a glance, MR. JACE JOHN CRAWFORD (PA-C) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. JACE JOHN CRAWFORD (PA-C) located near Covington?
MR. JACE JOHN CRAWFORD (PA-C) currently maps to Covington, Georgia in this extract.
Does MR. JACE JOHN CRAWFORD (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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