CRYSTAL MARIE BRANCH FNP-BC
NPI 1295272532
Nurse Practitioner in Douglasville, GA
About Crystal Marie Branch Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL MARIE BRANCH FNP-BC (NPI 1295272532) is an individual nurse practitioner in Douglasville, Georgia, licensed in Georgia (RN250544) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Crystal Marie Branch Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Crystal Branch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, Georgia enrollment
- 350 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Branch's NPI number?
The NPI number for Crystal Branch is 1295272532. It was assigned to this individual provider in the NPPES registry on January 25, 2017.
Where is Crystal Branch located?
Crystal Branch practices at 9465 Highway 5, Douglasville, GA 30135. The listed phone number is (678) 732-1513.
What is Crystal Branch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Crystal Branch enrolled in Medicare?
Yes. Crystal Branch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Crystal Branch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Branch reassigns Medicare benefits to 2 organizations: Peachtree Immediate Care Fp, LLC (Hiram, GA) and Minuteclinic LLC (Rockville, MD). Each 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 Crystal Branch'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 Crystal Branch was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Crystal Marie Branch, FNP-BC · NPI 1295272532
Nurse Practitioner physician in Douglasville, Georgia. Individual provider, active in the CMS NPPES registry since January 25, 2017.
## Identity
- **NPI:** 1295272532 (Entity type: Individual)
- **Enumerated:** January 25, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN250544 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 9465 HIGHWAY 5, Douglasville, GA 30135
- **Phone:** (678) 732-1513 · **Fax:** (404) 614-7353
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA); Minuteclinic LLC (NPI 1134191836, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 14, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1295272532) · Data from the CMS NPPES public registry.