MRS. JANDALEA CRAWFORD
NPI 1104763762
Family Medicine in Auburn, GA

Active since May 01, 2026PECOS Enrolled
440 ROBINS WAY, AUBURN, GA 30011(404) 328-8589 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jandalea Crawford NPPES

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

MRS. JANDALEA CRAWFORD (NPI 1104763762) is an individual family medicine provider in Auburn, Georgia, licensed in New York (359621) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104763762
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. JANDALEA CRAWFORD
Location Address440 ROBINS WAYAuburn, GA 30011-3094
Mailing Address440 Robins WayAuburn, GA 30011-3094 · (404) 328-8589
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1104763762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 359621
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
440 ROBINS WAY, Auburn, GA 30011

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jandalea Crawford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597236331
PECOS Enrollment IDI20260729000699
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.

Medicare Billing Reassignment

Medicare enrollment records show Jandalea Crawford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
4 LEGENDS CIRCLE
Melville, NY 11747
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jandalea Crawford's NPI number?

The NPI number for Jandalea Crawford is 1104763762. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Jandalea Crawford located?

Jandalea Crawford practices at 440 Robins Way, Auburn, GA 30011. The listed phone number is (404) 328-8589.

What is Jandalea Crawford's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jandalea Crawford enrolled in Medicare?

Yes. Jandalea Crawford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jandalea Crawford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jandalea Crawford reassigns Medicare benefits to Ny Medical Providers, PLLC (Melville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jandalea Crawford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jandalea Crawford was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.