JARED M CROSKEY DC
NPI 1174288450
Chiropractor in Cumming, GA
About Jared M Croskey Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED M CROSKEY DC (NPI 1174288450) is an individual chiropractor in Cumming, Georgia, licensed in Georgia (CHIR010648) and active in the NPI registry since November 2021.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jared M Croskey Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jared Croskey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cumming, GA 30040
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CUMMING, GA 30040
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 Jared Croskey's NPI number?
The NPI number for Jared Croskey is 1174288450. It was assigned to this individual provider in the NPPES registry on November 2, 2021.
Where is Jared Croskey located?
Jared Croskey practices at 308 Canton Rd Ste B, Cumming, GA 30040. The listed phone number is (706) 994-4618.
What is Jared Croskey's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jared Croskey enrolled in Medicare?
Yes. Jared Croskey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jared Croskey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jared Croskey reassigns Medicare benefits to Empower Sports Chiropractic LLC (Cumming, GA). 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 Jared Croskey'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 Jared Croskey was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jared M Croskey, DC · NPI 1174288450
Chiropractor provider in Cumming, Georgia. Individual provider, active in the CMS NPPES registry since November 2, 2021.
## Identity
- **NPI:** 1174288450 (Entity type: Individual)
- **Enumerated:** November 2, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIR010648 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 308 CANTON RD STE B, Cumming, GA 30040-2215
- **Phone:** (706) 994-4618
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Empower Sports Chiropractic LLC (NPI 1538989587, Cumming, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174288450) · Data from the CMS NPPES public registry.