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

Dr. Robert Leon Crocker, MD

Individual provider Family Medicine Physician · NPI 1356580542

Dr. Robert Leon Crocker, MD is a Family Medicine Physician in Jackson, Mississippi. Practices as a sole proprietor. Licensed in California, Connecticut, Delaware and Hawaii and 11 more.

Licensed in
CA, CT, DE, HI, KY, MO
In the registry since
2009
Specialties on file
15
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4264 E Ridge Dr
Jackson, MS 39211-6100
Phone: (601) 421-9177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 08720 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence A70404 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 040080 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence C1-0006033 (DE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11849 (HI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 36653 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 118044 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 9902 (MT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11127 (NH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MA07091200 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 200001571 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 8386 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence 22710 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD12756 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 042-0010301 (VT)

Record details

NPI number1356580542
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 11, 2009
Last updated in NPPESFebruary 11, 2009
Mailing address4264 E Ridge Dr, Jackson, MS 39211-6100

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