CRYSTAL RAE CLENDENNEN PEIRCE DO
NPI 1134872245
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since January 28, 2022PECOS Enrolled
677 CHURCH ST NE, MARIETTA, GA 30060(209) 573-6181 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 23, 2023, Jan 28, 2022 (2 updates tracked since 2022).

About Crystal Rae Clendennen Peirce Do NPPES

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

CRYSTAL RAE CLENDENNEN PEIRCE DO (NPI 1134872245) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134872245
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCRYSTAL RAE CLENDENNEN PEIRCECredential: DO
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address375 Porterfield RdPorter, ME 04068-3636 · (801) 425-2766
Sole ProprietorNo
Enumeration DateJanuary 28, 2022
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1134872245 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.
677 CHURCH ST NE, Marietta, GA 30060

Other Names 1

Professional Name (2)Crystal Clendennen Peirce Do

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Rae Clendennen Peirce Do 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060

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 Crystal Clendennen Peirce's NPI number?

The NPI number for Crystal Clendennen Peirce is 1134872245. It was assigned to this individual provider in the NPPES registry on January 28, 2022. The provider is also known as Crystal Clendennen Peirce Do.

Where is Crystal Clendennen Peirce located?

Crystal Clendennen Peirce practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (209) 573-6181.

What is Crystal Clendennen Peirce's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Crystal Clendennen Peirce enrolled in Medicare?

Yes. Crystal Clendennen Peirce is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Clendennen Peirce was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.