NPI Details
DR. Deidre Denise Crocker, MD is an allergy immunology in Conyers, GA with 23 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DR. Deidre Denise Crocker, MD NPI is 1790947117. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:2002
The provider's business location address is:
2390 WALL ST SE
CONYERS, GA
ZIP 30013-150
Phone: (770) 922-5696
Fax: (770) 922-1065
The NPI 1790947117 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.
- Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
- Professional service for multiple injections of allergen (HCPCS:95117)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Test to measure expiratory airflow and volume (HCPCS:94010)
The enumeration date for this NPI number is 6/26/2008 and was last updated on 11/10/2011.
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 |
| 1 | 208000000X | Pediatrics | | 056811 | GEORGIA | No |
| 2 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | 056811 | GEORGIA | No |
| 3 | 207K00000X | Allergy & Immunology | | 056811 | GEORGIA | Yes |
