JODI CAMERON CROCKER NP NPI 1265984678

NPI Information

  • NPI: 1265984678
  • Provider Name: JODI CAMERON CROCKER, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 840 W FLOYD BAKER BLVD
    GAFFNEY, SC
    ZIP 29341
  • Phone: (864) 489-3300

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NPI Details

Jodi Cameron Crocker, NP is a family nurse practitioner in Gaffney, SC with 7 years of experience. Jodi Cameron Crocker, NP NPI is 1265984678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

840 W FLOYD BAKER BLVD
GAFFNEY, SC
ZIP 29341-845
Phone: (864) 489-3300

The NPI 1265984678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2016 and was last updated on 3/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WS0200XRegistered NurseSchool232011SOUTH CAROLINANo
2363LF0000XNurse PractitionerFamily23001SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SCF6436067OTHERSOUTH CAROLINAMEDICARE PIN
2SCF6436121OTHERSOUTH CAROLINAMEDICARE PIN
3SCF643J577OTHERSOUTH CAROLINAMEDICARE PIN
4NP6022MEDICAIDSOUTH CAROLINA
5SCF6435019OTHERSOUTH CAROLINAMEDICARE PIN
6SCF6436084OTHERSOUTH CAROLINAMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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