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

Mr. Randall Terry Crawford Jr.

Individual provider Family Nurse Practitioner · NPI 1740678739

Mr. Randall Terry Crawford Jr. is a Nurse Practitioner in Vidalia, Georgia. Qualified in 2014, 12 years ago. Practices with Rmx Blackshear LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2014
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Practice location Address checks out

101 Harris Industrial Blvd Ste A
Vidalia, GA 30474-8852
Phone: (912) 535-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN195783 (GA)

Record details

NPI number1740678739
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 30, 2014
Last updated in NPPESMay 13, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Rmx Blackshear Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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