Monica Crawford, MD
NPI 1225243603 · Rheumatology Physician · Carrollton, GA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Crawford, MD is a Rheumatology Physician provider in Carrollton, GA (NPI 1225243603).
Provider details
- NPI number
- 1225243603
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 52669 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
409 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 284 | $116 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $82 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 34 | $13 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 26 | $195 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 12 | $20 |
Typical Medicare-allowed amounts for these services range $13–$195 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 68 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 387 | 111 |
| Prednisone | 381 | 138 |
| Methotrexate Sodiumbrand: Methotrexate | 300 | 84 |
| Tramadol Hcl | 215 | 61 |
| Duloxetine Hcl | 201 | 63 |
| Gabapentin | 161 | 52 |
| Hydrocodone/Acetaminophen |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$728 across 46 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 101 Quartz Dr Ste 201Villa Rica, GA 30180-3256Phone: (770) 812-5003Fax: (770) 812-5832
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Monica Crawford's NPI number?
- Monica Crawford's National Provider Identifier (NPI) is 1225243603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Crawford's specialty?
- Monica Crawford is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Monica Crawford located?
- Monica Crawford's practice location on file with NPPES is 905 Dixie St, Carrollton, GA 30117-4408.
- What is Monica Crawford's phone number?
- The practice phone number listed in the NPPES registry for Monica Crawford is (770) 812-5003.
- Does Monica Crawford accept Medicare?
- Monica Crawford is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Crawford's NPI active?
- Yes — Monica Crawford's NPI (1225243603) is active in the NPPES registry as of the last update on 2026-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.