MRS. JENNIFER JOY CROOKS (FNP-BC) – Family Medicine Physician, NPI 1780281477
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MRS. JENNIFER JOY CROOKS (FNP-BC)
195 HAMILTON MULBERRY GROVE RD
CATAULA, GA 318042503
Phone:
Type: Mailing
2154 JOHNSON FERRY RD NE
BROOKHAVEN, GA 303192558
Phone: (678) 732-1500
Type: Location
1810 STADIUM DR STE 210
PHENIX CITY, AL 368673179
Phone: (334) 291-5255
Fax: (877) 395-0710
Type: Location
307 Church St
LaGrange, GA 302402700
Phone: (706) 580-5997
Type: Location
307 CHURCH ST
LAGRANGE, GA 302402700
Phone: (706) 580-5997
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $435.
Total Amount is formed as General ($435) + Research ($0) + Ownership ($0) = $435.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($251).
Total Amount
$435
General + Research + Ownership
Payments
12
Total payment records
General Amount
$435
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| REVANCE THERAPEUTICS, INC. | $251 |
| MERZ NORTH AMERICA, INC. | $94 |
| ABBVIE INC. | $90 |
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: 2025-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20211012001539 | I | Nurse Practitioner | AL | TBD |
| I20250604001766 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | GA | |
| Family Practice, General Practice | GA | |
| Physician Assistant | SC | |
| - | GA | |
| General Practice, Family Practice | SC | |
| Nurse Practitioner | GA |
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