JAY A. CROCKETT M.D. – NPI #1538165287
Colon & Rectal Surgery
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
JAY CROCKETT is a colon & rectal surgeon located in GREENVILLE, SC. NPPES has assigned the NPI number 1538165287 to JAY CROCKETT on June 27, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.
The NPI profile was previously updated about 8 years ago on Feb 02, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAY CROCKETT below.
NPI Profile for
JAY A. CROCKETT
(about 21 years ago)
GREENVILLE, SC 29605-4458 Phone: (864) 269-5500 Fax: (864) 269-8568
GREENVILLE, SC 29615-4536 Phone: (864) 797-6303 Fax:
Identifiers for JAY CROCKETT
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS OF SC | SC | 576007863136 |
| OTHER | BLUE CHOICE | SC | 576007863153 |
| OTHER | RR MEDICARE | SC | P00802351 |
| MEDICAID | SC | T46019 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208C00000X - Colon & Rectal Surgery (Primary) |
SC | 20317 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JAY CROCKETT is affiliated with the following medical group(s):
- HOSPITAL
- PRISMA HEALTH PATEWOOD HOSPITAL175 PATEWOOD DRIVE
GREENVILLE, SC 29615 - PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL701 GROVE ROAD
GREENVILLE, SC 29605
- PRISMA HEALTH PATEWOOD HOSPITAL175 PATEWOOD DRIVE
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