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

Elishia Kathleen Crumwell-Mack, CNP

Individual provider Nurse Practitioner · NPI 1144863051

Elishia Kathleen Crumwell-Mack, CNP is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2019, 7 years ago. Practices with Aga Professional Services LLC, a 173-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

301 Philip Blvd Ste A
Lawrenceville, GA 30046-8746
Phone: (770) 822-5560
Fax: (770) 822-4989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN302384 (GA)

Record details

NPI number1144863051
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 23, 2019
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Aga Professional Services Llc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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