IndividualActive
Caleb Crocker
NPI 1902329550 · Surgical Physician Assistant · Nashville, TN
Provider details
- NPI number
- 1902329550
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4901 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3443 Dickerson Pike Ste 190
Nashville, TN 37207-2533
Phone: (615) 860-1580
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 370
Fortson, GA 31808-0370
Registry dates
- Enumerated
- 2017-07-25
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.