CRYSTAN ALLANE HAWKINS MD
NPI 1003666306
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since March 27, 2024PECOS Enrolled
389 TENNESSEE ST APT 1, MEMPHIS, TN 38103(901) 830-6691 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crystan Allane Hawkins Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAN ALLANE HAWKINS MD (NPI 1003666306) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003666306
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCRYSTAN ALLANE HAWKINSCredential: MD
Location Address389 TENNESSEE ST APT 1Memphis, TN 38103-4100
Mailing Address389 Tennessee St Apt 1Memphis, TN 38103-4100 · (901) 830-6691
Sole ProprietorNo
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 26, 2024
NPI 1003666306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

389 TENNESSEE ST APT 1, Memphis, TN 38103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Crystan Allane Hawkins Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003666306, enumerated as an "individual" on March 27, 2024.

The provider is located at 389 TENNESSEE ST APT 1 MEMPHIS, TN 38103 and the phone number is (901) 830-6691.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.