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

Michael David Crumpler, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669221040

Michael David Crumpler, PA is a Physician Assistant in Washington, North Carolina. Qualified in 2024, 2 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

628 E 12th St
Washington, NC 27889-3409
Phone: (252) 974-9361
Show map & directions

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

Additional practice locations (1)

  • 216 York Rd, Greenville, NC 27858-5601 — (252) 378-8889

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-15119 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669221040
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 16, 2024
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address216 York Rd, Greenville, NC 27858-5601

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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