THOMAS RICHARD CRUTCHFIELD (FNP-C) – Family Nurse Practitioner, NPI 1306565460

THOMAS RICHARD CRUTCHFIELD (FNP-C) is a healthcare provider. based in Hinesville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 254229 (GA). The NPI Number for THOMAS RICHARD CRUTCHFIELD (FNP-C) is 1306565460

Main info

Male
Sole Proprietor
4 Years Of Experience
Name
THOMAS RICHARD CRUTCHFIELD (FNP-C)
NPI
1306565460
Phone
(912) 369-9400
Address
462 Elma G Miles Pkwy Ste 102A
Enumeration Date
23 August 2022
Last Update Date
4 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125303395
Graduation Year
2022 (4 years ago)
PAC ID
8022487990
Group Practice PAC ID
6103926241
Professional Enrollment ID
I20221215001877
Address ID
GA315450210JE865XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for THOMAS RICHARD CRUTCHFIELD (FNP-C)

  • 462 Elma G Miles Pkwy Ste 102A

    Hinesville, GA 313134000

    Phone: (912) 369-9400

    Type: Location

  • 153 CYPRESS CREEK DR NE

    LUDOWICI, GA 313163131

    Phone: (912) 271-8678

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: ABBVIE INC. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$20
View all Open Payments →|Open Payments Risk Radar →

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: 2022-12-15

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
I20221215001877INurse PractitionerGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1414$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 31313)

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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: 6103926241View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineLA
Physician AssistantGA
-NC
Emergency Medicine, Geriatric MedicineCT
Nurse PractitionerGA
Nurse PractitionerGA
Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I cross-check THOMAS RICHARD CRUTCHFIELD (FNP-C) using NPI 1306565460?
NPI 1306565460 belongs to THOMAS RICHARD CRUTCHFIELD (FNP-C); compare other details if you need extra assurance.
Active or inactive — what applies to THOMAS RICHARD CRUTCHFIELD (FNP-C)?
You should see THOMAS RICHARD CRUTCHFIELD (FNP-C) as active in CMS-hosted NPPES data.
What kind of doctor is THOMAS RICHARD CRUTCHFIELD (FNP-C)?
THOMAS RICHARD CRUTCHFIELD (FNP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is THOMAS RICHARD CRUTCHFIELD (FNP-C) registered?
Use Hinesville, Georgia as the headline location for THOMAS RICHARD CRUTCHFIELD (FNP-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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