DR. ROBERT BRADLEY CRUMLEY DC
NPI 1427545185
Chiropractor - Sports Physician in Atlanta, GA

NPI Status: Active since April 18, 2018

Contact Information

5064 ROSWELL RD NE
SUITE C-201
ATLANTA, GA
ZIP 30342
Phone: (404) 233-2440
Fax: (404) 233-2441

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  • Individual
  • Male
  • Years of Experience 9
  • Chiropractor
  • Sports Physician
  • Accepts Insurance
  • May Accept Medicare Approved Payment

About ROBERT CRUMLEY

This page provides the complete NPI Profile along with additional information for Robert Crumley, a provider established in Atlanta, Georgia with a medical specialization in Chiropractor, focusing in sports physician and more than 9 years of experience. He graduated from Life Chiropractic College in 2017. The healthcare provider is registered in the NPI registry with number 1427545185 assigned on April 2018. The practitioner's primary taxonomy code is 111NS0005X with license number CHIR009978 (GA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1427545185
Provider Name
DR. ROBERT BRADLEY CRUMLEY DC
Gender
Male
Entity Type
Individual
Location Address
5064 ROSWELL RD NE SUITE C-201 ATLANTA, GA 30342
Location Phone
(404) 233-2440
Location Fax
(404) 233-2441
Mailing Address
5064 ROSWELL RD NE SUITE C-201 ATLANTA, GA 30342
Mailing Phone
(404) 233-2440
Mailing Fax
(404) 233-2441
Medical School Name
LIFE CHIROPRACTIC COLLEGE
Graduation Year
2017
Is Sole Proprietor?
Yes
Enumeration Date
04-18-2018
Last Update Date
04-18-2018
Code Navigator

A chiropractor like Robert Crumley helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor Sports Physician

Taxonomy Code
111NS0005X
Type
Chiropractic Providers
License No.
CHIR009978
License State
GA
Taxonomy Description
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Robert Crumley is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2365789468

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190128002814

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Chiropractic manipulative treatment, 1-2 spinal regions

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

This service was performed 73 times for 15 patients

Chiropractic manipulative treatment, 3-4 spinal regions

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

This service was performed 313 times for 39 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427545185, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 1 + 0 + 4 + 1 + 0 + 1 + 1 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1427545185.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Chiropractor (Sports Physician)
5064 ROSWELL RD NE, SUITE C-201
ATLANTA, GA 30342
Psychiatry & Neurology (Psychiatry)
5064 ROSWELL RD NE, SUITE D-201
ATLANTA, GA 30342
Psychiatry & Neurology (Psychiatry)
5064 ROSWELL RD NE, SUITE D-201
ATLANTA, GA 30342
Psychiatry & Neurology (Psychiatry)
5064 ROSWELL RD NE, SUITE D-201
ATLANTA, GA 30342
Psychiatry & Neurology (Psychiatry)
5064 ROSWELL RD NE, STE D-201
ATLANTA, GA 30342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427545185, enumerated as an "individual" on April 18, 2018.

The provider is located at 5064 ROSWELL RD NE SUITE C-201 ATLANTA, GA 30342 and the phone number is (404) 233-2440.

Chiropractor with taxonomy code 111NS0005X and a focus in Sports Physician.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.