Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Marie Prevatt

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1477417848

Crystal Marie Prevatt is a Nurse Practitioner in Columbus, Georgia. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
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Practice location Address checks out

2000 16th Ave
Columbus, GA 31901-1665
Phone: (904) 790-1896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1183 S 6th St, Macclenny, FL 32063-4620 — (904) 784-9355

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence GAA-NP004282 (GA)

Record details

NPI number1477417848
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address460 Lee Road 370, Valley, AL 36854-6453

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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