DR. ROBERT LEON CROCKER M.D.
NPI 1356580542
Family Medicine in Jackson, MS

Q: What is Robert Crocker's NPI number?

The NPI number for Robert Crocker is 1356580542. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Q: What is Robert Crocker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Crocker was last updated on February 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 11, 2009

4264 E RIDGE DR, JACKSON, MS 39211(601) 421-9177 Get Directions Write a Review

NPPES record last updated: February 11, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Dr. Robert Leon Crocker M.d. NPPES

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

DR. ROBERT LEON CROCKER M.D. (NPI 1356580542) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (08720) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1356580542

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ROBERT LEON CROCKERCredential: M.D.

Location Address4264 E RIDGE DRJackson, MS 39211-6100

Mailing Address4264 E Ridge DrJackson, MS 39211-6100 · (601) 421-9177

Phone(601) 421-9177

Sole ProprietorYes

Enumeration DateFebruary 11, 2009

✔ NPI 1356580542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MS · 08720✔ Licensed in NH · 11127✔ Licensed in NJ · 25MA07091200✔ Licensed in NC · 200001571✔ Licensed in ND · 8386✔ Licensed in OK · 22710✔ Licensed in TN · MD12756✔ Licensed in VT · 042-0010301✔ Licensed in CA · A70404✔ Licensed in CT · 040080✔ Licensed in DE · C1-0006033✔ Licensed in HI · 11849✔ Licensed in KY · 36653✔ Licensed in MO · 118044✔ Licensed in MT · 9902

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4264 E RIDGE DR, Jackson, MS 39211

Open in Google Maps ↗

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 Robert Crocker's NPI number?

The NPI number for Robert Crocker is 1356580542. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Where is Robert Crocker located?

Robert Crocker practices at 4264 E Ridge Dr, Jackson, MS 39211. The listed phone number is (601) 421-9177.

What is Robert Crocker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Robert Crocker was last updated on February 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.