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DR. JASON MALCOLM CRANDELL M.D.
NPI 1255349098
Specialist in Clemmons, NC

Active since August 04, 2006
2511 NEUDORF RD STE D, CLEMMONS, NC 27012(336) 778-0506(336) 778-0570 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason Malcolm Crandell M.d. NPPES

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

DR. JASON MALCOLM CRANDELL M.D. (NPI 1255349098) is an individual specialist in Clemmons, North Carolina, licensed in North Carolina (23500) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1255349098
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JASON MALCOLM CRANDELLCredential: M.D.
Location Address2511 NEUDORF RD STE DClemmons, NC 27012-8922
Mailing AddressPo Box 1741Clemmons, NC 27012-1741 · (336) 778-0506 · Fax (336) 778-0570
Phone(336) 778-0506
Fax(336) 778-0570
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1255349098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 23500
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2511 NEUDORF RD STE D, Clemmons, NC 27012
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Other Identifiers 7

Other1504998NC · United Health Care
Medicaid8925220NC
Medicare UPINC18215NC
Medicare ID-Type Unspecified202339DNC · Provider
Other05667001NC · Magellan
OtherMR109NC · Blue Cross Empire
Other73006NC · Medcost

Other Providers at the Same Location NPPES

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

MR. JEREMY DOCKERY CADC, SAP, ICAADC,
Counselor (Addiction (Substance Use Disorder))
2511 NEUDORF RD STE D
CLEMMONS, NC 27012
Forsyth County (336) 725-5129

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 Jason Crandell's NPI number?

The NPI number for Jason Crandell is 1255349098. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Jason Crandell located?

Jason Crandell practices at 2511 Neudorf Rd Ste D, Clemmons, NC 27012. The listed phone number is (336) 778-0506.

What is Jason Crandell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jason Crandell was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.