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DR. STEPHEN ALEXANDER CROCKETT MD
NPI 1811687049
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since May 10, 2023PECOS Enrolled
101 MANNING DRIVE, 3020 OLD CLINIC, CHAPEL HILL, NC 27514(919) 966-4140(919) 984-9952 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Stephen Alexander Crockett Md NPPES

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

DR. STEPHEN ALEXANDER CROCKETT MD (NPI 1811687049) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (RTL23-0204) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811687049
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. STEPHEN ALEXANDER CROCKETTCredential: MD
Location Address101 MANNING DRIVE, 3020 OLD CLINICChapel Hill, NC 27514-4220
Mailing Address101 Manning Drive 3020 Old ClinicChapel Hill, NC 27599-4220 · (919) 966-4140 · Fax (919) 984-9952
Phone(919) 966-4140
Fax(919) 984-9952
Sole ProprietorNo
Enumeration DateMay 10, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1811687049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NC · RTL23-0204
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 MANNING DRIVE, Chapel Hill, NC 27514
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Alexander Crockett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. ALAINA ROOKARD PA
Physician Assistant
101 MANNING DRIVE
CHAPEL HILL, NC 27514
Orange County (984) 974-6728
KIAN BANIZAMAN LARI MD
Student in an Organized Health Care Education/Training Program
101 MANNING DRIVE, ROOM 1017, CB # 7600
CHAPEL HILL, NC 27514
Orange County (783) 398-4974
CAITLIN ELISE WITT MD
Obstetrics & Gynecology
101 MANNING DRIVE, FIRST FLOOR
CHAPEL HILL, NC 27514
Orange County (984) 974-7822
DR. RON AARON PERETS MD
Radiology (Diagnostic Radiology)
101 MANNING DRIVE, 4061 BURNETT-WOMACK BLDG
CHAPEL HILL, NC 27514
Orange County (919) 966-4653
DR. CARMEN D ECHOLS PHARMD, BCPPS
Pharmacist (Ambulatory Care)
101 MANNING DRIVE, DEPARTMENT OF PHARMACY
CHAPEL HILL, NC 27514
Orange County (984) 974-3548
NADIA CHARGUIA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
101 MANNING DRIVE, CB#7160 DEPARTMENT OF PSYCHIATRY
CHAPEL HILL, NC 27514
Orange County (919) 966-3362
NINA RUTH IVIE FNP-C, RN
Nurse Practitioner (Family)
101 MANNING DRIVE, OCCUPATIONAL HEALTH SERVICE
CHAPEL HILL, NC 27514
Orange County (984) 974-4489
MICHAEL CHRISTOPHER ADAMS MD
Pediatrics
101 MANNING DRIVE, UNC SCHOOL OF MEDICINE, WING E
CHAPEL HILL, NC 27514
Orange County (919) 966-4202

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 Stephen Crockett's NPI number?

The NPI number for Stephen Crockett is 1811687049. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Stephen Crockett located?

Stephen Crockett practices at 101 Manning Drive 3020 Old Clinic, Chapel Hill, NC 27514. The listed phone number is (919) 966-4140.

What is Stephen Crockett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Crockett enrolled in Medicare?

Yes. Stephen Crockett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Crockett was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.