Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE CRUMLEY, PA-C
ActiveNICOLE CRUMLEY, PA-C is a Medical Physician Assistant healthcare provider located in BALDWIN, Georgia. NPI 1164122214 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BALDWIN, GA
Registration Details
- NPI Number
- 1164122214
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2023 (3.2601306345205 yrs)
- Last Updated
- Aug 21, 2025
- Licenses
-
11755 (GA)11755 (GA)
Practice Information
- Address
-
155 PROFESSIONAL DRIVEBALDWIN, GA, 305114000Browse GA providers · Browse ZIP 30511
- Phone
- 7067762368
- Fax
- 7067762589
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.