MR. RANDALL TERRY JR. CRAWFORD – Family Nurse Practitioner, NPI 1740678739
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MR. RANDALL TERRY JR. CRAWFORD
PO BOX 407
VIDALIA, GA 304750407
Phone: (912) 537-4986
Type: Mailing
101 HARRIS INDUSTRIAL BLVD
SUITE A
VIDALIA, GA 304748852
Phone: (912) 535-3500
Type: Location
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.
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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: 2015-04-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150406001498 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 834 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 520 | 103 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 494 | 99 | $0 |
| 96521 | Refilling and maintenance of portable pump | 493 | 99 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 297 | 43 | $0 |
Insurance plans in this area (ZIP 30475)
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