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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. NICOLE LYNNE CROCKFORD PA-C
NPI 1265480065
Physician Assistant in Spartanburg, SC

Active since May 04, 2006
2030 NORTH CHURCH PLACE, SPARTANBURG, SC 29303(864) 582-6858(864) 583-9360 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Lynne Crockford Pa-c NPPES

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

MRS. NICOLE LYNNE CROCKFORD PA-C (NPI 1265480065) is an individual physician assistant in Spartanburg, South Carolina, licensed in South Carolina (A945) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1265480065
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. NICOLE LYNNE CROCKFORDCredential: PA-C
Location Address2030 NORTH CHURCH PLACESpartanburg, SC 29303
Mailing Address603 Addlestone WayDuncan, SC 29334-8963 · (864) 415-5025 · Fax (864) 583-9360
Phone(864) 582-6858
Fax(864) 583-9360
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1265480065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · A945
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2030 NORTH CHURCH PLACE, Spartanburg, SC 29303
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Other Providers at the Same Location NPPES 9

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

DR. JOHN DOUGLAS CLARK MD
Internal Medicine (Critical Care Medicine)
2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303
Spartanburg County (864) 582-6858
LUNG AND CHEST MEDICAL ASSOCIATES
General Acute Care Hospital
2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303
Spartanburg County (864) 582-6703
LUNG AND CHEST MEDICAL ASSOCIATES, LLC
Nurse Practitioner (Family)
2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303
Spartanburg County (864) 528-6858
RICO VINCENTE. I. MENDOZA,MD,PA
Internal Medicine (Critical Care Medicine)
2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303
Spartanburg County (864) 582-6858
IKENNA F. ONYEBUEKE, MD PA
Internal Medicine (Critical Care Medicine)
2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303
Spartanburg County (864) 582-6858
J.DOUGLAS CLARK, MD PC
Internal Medicine (Critical Care Medicine)
2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303
Spartanburg County (864) 582-6858
RAUL B CRUZ MD PA
Internal Medicine (Critical Care Medicine)
2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303
Spartanburg County (864) 582-6858
CHARLES M FOGARTY, MD, PA
Internal Medicine (Pulmonary Disease)
2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303
Spartanburg County (864) 582-6858

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 Nicole Crockford's NPI number?

The NPI number for Nicole Crockford is 1265480065. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Nicole Crockford located?

Nicole Crockford practices at 2030 North Church Place, Spartanburg, SC 29303. The listed phone number is (864) 582-6858.

What is Nicole Crockford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nicole Crockford was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.