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

Lya Crichlow, MD

Individual provider Surgery Physician · NPI 1477888964

Lya Crichlow, MD is a General Surgery in Braselton, Georgia. Graduated from Icahn School of Medicine at Mount Sinai in 2005, 21 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
21
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
GA, NC
In the registry since
2009
Specialties on file
2
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

1404 River Pl Ste 201
Braselton, GA 30517-5600
Phone: (770) 219-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2934 N Elm St, Lumberton, NC 28358-2981 — (910) 739-0022
  • 1 Medical Center Blvd, Chester, PA 19013-3902 — (610) 619-8480

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 91546 (GA)
Surgery Physician Taxonomy 208600000X · Licence 2011-01359 (NC)

Record details

NPI number1477888964
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2009
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2005 (21 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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