JACOB L CRAWFORD (DO) – Diagnostic Radiology Physician, NPI 1033748983
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,081 DIAGNOSTIC RADIOLOGY in TN
Provider Addresses for JACOB L CRAWFORD (DO)
920 MADISON AVE STE 447
MEMPHIS, TN 381033438
Phone: (901) 448-5814
Type: Mailing
920 Madison Ave Ste 447
Memphis, TN 381033438
Phone: (901) 448-5814
Type: Location
6019 WALNUT GROVE RD
MEMPHIS, TN 381202113
Phone: (901) 226-3001
Type: Mailing
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: 2025-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20240912004535 | I | Diagnostic Radiology | AR | TBD |
| I20241023004133 | I | Diagnostic Radiology | TN | TBD |
| I20241029004571 | I | Diagnostic Radiology | MS | TBD |
| I20251223002339 | I | Diagnostic Radiology | NC | 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 38103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Nuclear Medicine, Diagnostic Radiology | FL | |
| - | TN | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | TN | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology, Nuclear Medicine | MO | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology, Interventional Radiology | TN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | TN |
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