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

Jay Anton Crockett, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1538165287

Jay Anton Crockett, MD is a Colorectal Surgery (Proctology) in Greenville, South Carolina. Graduated from State University of Ny Upstate Medical University in 1992, 34 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
34
Trained at
State University of Ny Upstate Medical University
Licensed in
SC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

60 Bear Dr
Greenville, SC 29605-4458
Phone: (864) 269-5500
Fax: (864) 269-8568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 20317 (SC)

Record details

NPI number1538165287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2005
Last updated in NPPESFebruary 2, 2018

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1992 (34 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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