KEIRSUN CROCKETT MD NPI 1750678967

NPI Information

  • NPI: 1750678967
  • Provider Name: KEIRSUN CROCKETT, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 790 CHURCH ST NE
    MARIETTA, GA
    ZIP 30060
  • Phone: (678) 239-0420

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NPI Details

Keirsun Crockett, MD is a diagnostic radiology radiology in Marietta, GA with 15 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Keirsun Crockett, MD NPI is 1750678967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2011

The provider's business location address is:

790 CHURCH ST NE
MARIETTA, GA
ZIP 30060-282
Phone: (678) 239-0420

The NPI 1750678967 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Mri scan of blood vessels of neck without contrast (HCPCS:70547)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • 3d radiographic procedure (HCPCS:76376)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)

The enumeration date for this NPI number is 7/8/2011 and was last updated on 2/21/2024.

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
12085N0700XRadiologyNeuroradiology077719GEORGIANo
2390200000XStudent in an Organized Health Care Education/Training Program0116023629VIRGINIANo
32085R0202XRadiologyDiagnostic Radiology077719GEORGIAYes

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
10116023629OTHERVIRGINIAVIRGINIA BOARD OF MEDICINE

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: 11/21/2025

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