Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christopher Thomas Crocker, PA-C

Individual provider Physician Assistant · NPI 1467165878

Christopher Thomas Crocker, PA-C is a Physician Assistant in Spartanburg, South Carolina. Qualified in 2022, 4 years ago. Practices with Regenesis Organization Community Health Center, a 35-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

460 Langdon St
Spartanburg, SC 29302-1614
Phone: (864) 582-2411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Cleveland St, Greenville, SC 29607-2410 — (864) 467-3790

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1467165878
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2022
Last updated in NPPESDecember 31, 2022
Certification dateDecember 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Regenesis Organization Community Health Center — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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