CRYSTAL WINKLES BUCKNER
NPI 1902600166
Nurse Practitioner - Pediatrics in Kennesaw, GA

Q: What is Crystal Buckner's NPI number?

The NPI number for Crystal Buckner is 1902600166. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Q: What is Crystal Buckner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Buckner was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 04, 2025

3745 CHEROKEE ST NW STE 401, KENNESAW, GA 30144(770) 429-1005 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Apr 4, 2025 (2 updates tracked since 2025).

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About Crystal Winkles Buckner NPPES

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

CRYSTAL WINKLES BUCKNER (NPI 1902600166) is an individual pediatrics provider in Kennesaw, Georgia, licensed in Georgia (202529450) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1902600166

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameCRYSTAL WINKLES BUCKNER

Location Address3745 CHEROKEE ST NW STE 401Kennesaw, GA 30144-6787

Mailing Address642 Rosalia St SeAtlanta, GA 30312-3447 · (404) 867-6422

Phone(770) 429-1005

Sole ProprietorYes

Enumeration DateApril 4, 2025

Last NPPES UpdateApril 9, 20252 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1902600166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · 202529450

3745 CHEROKEE ST NW STE 401, Kennesaw, GA 30144

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TASHAWNA THOMAS STOKES MD

Pediatrics

3745 CHEROKEE ST NW STE 401
KENNESAW, GA 30144

Cobb County (770) 429-1005

ALEXA GUSMEROTTI

Student in an Organized Health Care Education/Training Program

3745 CHEROKEE ST NW STE 401
KENNESAW, GA 30144

Cobb County (770) 429-1005

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 Crystal Buckner's NPI number?

The NPI number for Crystal Buckner is 1902600166. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Crystal Buckner located?

Crystal Buckner practices at 3745 Cherokee St NW Ste 401, Kennesaw, GA 30144. The listed phone number is (770) 429-1005.

What is Crystal Buckner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Crystal Buckner was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.