DR. RACHAL MICHELLE CRUM DO
NPI 1407385511
Hospitalist in Rome, GA
About Dr. Rachal Michelle Crum Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RACHAL MICHELLE CRUM DO (NPI 1407385511) is an individual hospitalist provider in Rome, Georgia, licensed in Georgia (86533) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Fauquier Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
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
Dr. Rachal Michelle Crum Do 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
17Medicare enrollment records show Rachal Crum reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monroe, GA 30655
- Reassigned Medicare billing, North Carolina enrollment
- 511 clinicians in this Medicare group
Brevard, NC 28712
- Reassigned Medicare billing, North Carolina enrollment
- 234 clinicians in this Medicare group
West Memphis, AR 72301
- Reassigned Medicare billing, Virginia enrollment
- 528 clinicians in this Medicare group
Galax, VA 24333
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Uva Community Health Medical Group LLC
- 584 clinicians in this Medicare group
Pulaski, VA 24301
- Reassigned Medicare billing, Virginia enrollment
- 104 clinicians in this Medicare group
Beckley, WV 25801
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
Blacksburg, VA 24060
- Reassigned Medicare billing, Virginia enrollment
- 66 clinicians in this Medicare group
Salem, VA 24153
- Reassigned Medicare billing, Virginia enrollment
- 181 clinicians in this Medicare group
Roanoke, VA 24015
- Reassigned Medicare billing, Virginia enrollment
- 101 clinicians in this Medicare group
Low Moor, VA 24457
- Reassigned Medicare billing, Virginia enrollment
- 88 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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fauquier Hospital
Acute Care Hospitals · Warrenton, VAInova Loudoun Hospital
Acute Care Hospitals · Leesburg, VAInova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30165 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROME, GA 30165
ROME, GA 30165
ROME, GA 30165
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 Rachal Crum's NPI number?
The NPI number for Rachal Crum is 1407385511. It was assigned to this individual provider in the NPPES registry on June 12, 2017.
Where is Rachal Crum located?
Rachal Crum practices at 501 Redmond Rd NW, Rome, GA 30165. The listed phone number is (706) 291-0291.
What is Rachal Crum's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Rachal Crum enrolled in Medicare?
Yes. Rachal Crum 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 Rachal Crum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachal Crum reassigns Medicare benefits to 17 organizations: Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Southeastern Medical Group, PC (Brevard, NC), Southeastern Intensivist Services PC (West Memphis, AR), Nmg Affiliate Practice I LLC (Galax, VA), Kingsford Physician Services, LLC (Pulaski, VA) and 12 more organizations, listed in the Medicare section above. 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 Rachal Crum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachal Crum accept?
Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Oscar Health list Rachal Crum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Rachal Crum affiliated with any hospitals?
According to CMS data, Rachal Crum is affiliated with Fauquier Hospital, Inova Loudoun Hospital and Inova Fairfax Hospital.
When was this NPI record last updated?
The NPPES record for Rachal Crum was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Dr. Rachal Michelle Crum, DO · NPI 1407385511
Hospitalist physician in Rome, Georgia. Individual provider, active in the CMS NPPES registry since June 12, 2017.
## Identity
- **NPI:** 1407385511 (Entity type: Individual)
- **Enumerated:** June 12, 2017
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 86533 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 REDMOND RD NW, Rome, GA 30165-1415
- **Phone:** (706) 291-0291
## 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:** 17 organizations under Medicare reassignment (form CMS-855R): Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Southeastern Medical Group, PC (NPI 1184669053, Brevard, NC); Southeastern Intensivist Services PC (NPI 1912942665, West Memphis, AR); Nmg Affiliate Practice I LLC (NPI 1639474240, Galax, VA); Kingsford Physician Services, LLC (NPI 1871088526, Pulaski, VA); and 12 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407385511) · Data from the CMS NPPES public registry.