CLAYTON CRAWLEY DO
NPI 1831728930
Family Medicine in Gallatin, TN

Q: What is Clayton Crawley's NPI number?

The NPI number for Clayton Crawley is 1831728930. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Clayton Crawley'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 Clayton Crawley was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment

1531 HUNT CLUB BLVD STE 304, GALLATIN, TN 37066(615) 814-4600(615) 814-4606 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2023, Apr 2, 2020 (2 updates tracked since 2020).

On this page

About Clayton Crawley Do NPPES

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

CLAYTON CRAWLEY DO (NPI 1831728930) is an individual family medicine provider in Gallatin, Tennessee, licensed in Tennessee (5281) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2020).

NPPES Registry Identity

NPI1831728930

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCLAYTON CRAWLEYCredential: DO

Location Address1531 HUNT CLUB BLVD STE 304Gallatin, TN 37066-6098

Mailing Address1531 Hunt Club Blvd Ste 304Gallatin, TN 37066-6098 · (615) 814-4600 · Fax (615) 814-4606

Phone(615) 814-4600

Fax(615) 814-4606

Sole ProprietorNo

Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2026

✔ NPI 1831728930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 5281

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.

1531 HUNT CLUB BLVD STE 304, Gallatin, TN 37066

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Clayton Crawley 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.

PECOS PAC ID6406217884

PECOS Enrollment IDI20230801004170

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.

Medicare Billing Reassignments

Medicare enrollment records show Clayton Crawley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sumner Physician Practices, LLC

1.4 mi

Family Medicine

225 BIG STATION CAMP BLVD STE 206
Gallatin, TN 37066

Reassigned Medicare billing, Tennessee enrollment
110 clinicians in this Medicare group

NPI 1083097711 (615) 328-3400

Crossroads Medical Group, PLLC

12 mi

Clinic/Center

491 SAGE RD., SUITE 200
White House, TN 37188

Reassigned Medicare billing, Tennessee enrollment
76 clinicians in this Medicare group

NPI 1073539607 (615) 672-7122

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 8

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

230 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

98 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services42 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

30 services23 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

25 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440003

Location555 Hartsville PikeGallatin, TN 37066 · Sumner County

Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440194

Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Cindy ***** May 21, 2025

5/5

Dr. Crawley is an EXCEPTIONAL person who takes the time to listen and diagnose without rushing you out the door. His fellow co-workers think very highly of him.

Provider 5/5 Office Staff 4/5

Visited this provider? Share your experience.

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 Clayton Crawley's NPI number?

The NPI number for Clayton Crawley is 1831728930. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Clayton Crawley located?

Clayton Crawley practices at 1531 Hunt Club Blvd Ste 304, Gallatin, TN 37066. The listed phone number is (615) 814-4600.

What is Clayton Crawley's specialty?

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

Is Clayton Crawley enrolled in Medicare?

Yes. Clayton Crawley 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 Clayton Crawley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Crawley reassigns Medicare benefits to 2 organizations: Sumner Physician Practices, LLC (Gallatin, TN) and Crossroads Medical Group, PLLC (White House, TN). 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 Clayton Crawley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Crawley accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Clayton Crawley 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 Clayton Crawley affiliated with any hospitals?

According to CMS data, Clayton Crawley is affiliated with Sumner Regional Medical Center and Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for Clayton Crawley was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.