Crystal Macomb, DO
NPI 1881121655 · Sports Medicine (Family Medicine) Physician · Fort Campbell, KY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal Macomb, DO is a Sports Medicine (Family Medicine) Physician provider in Fort Campbell, KY (NPI 1881121655).
Provider details
- NPI number
- 1881121655
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 0102206099 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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 methodology.
Practice location
Mailing address
Additional practice locations (2)
- 501 W 14th StWilmington, DE 19801-1013Phone: (302) 733-1000
- 3650 Joseph Siewick Dr Ste 400Fairfax, VA 22033-1715Phone: (703) 391-2020
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2022-09-16
- Certified
- 2022-09-16
Frequently asked questions
- What is Crystal Macomb's NPI number?
- Crystal Macomb's National Provider Identifier (NPI) is 1881121655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Crystal Macomb's specialty?
- Crystal Macomb is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Crystal Macomb located?
- Crystal Macomb's practice location on file with NPPES is 650 Joel Dr, Fort Campbell, KY 42223-5318.
- What is Crystal Macomb's phone number?
- The practice phone number listed in the NPPES registry for Crystal Macomb is (270) 798-8400.
- Does Crystal Macomb accept Medicare?
- Crystal Macomb is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Crystal Macomb's NPI active?
- Yes — Crystal Macomb's NPI (1881121655) is active in the NPPES registry as of the last update on 2022-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.