Keirsun Crockett, MD
NPI 1750678967ActiveIndividual· Radiology, Diagnostic Radiology· Marietta, GA
Radiology, Diagnostic Radiology (MD) in Marietta, Georgia, trained at University of Florida College of Medicine (class of 2011). Medicare paid $127,044 for services to 2,243 patients in 2024. Astrazeneca Pharmaceuticals LP reported $19.15 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1750678967 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 8, 2011 |
| Last updated in NPPES | Feb 21, 2024 |
| Certified by provider | Feb 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 077719 | GA |
| Radiology, Neuroradiology | 2085N0700X | 077719 | GA |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116023629 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,243 |
|---|---|
| Services billed | 8,353 across 129 procedure codes |
| Paid by Medicare | $127,044 |
Education and affiliations
| Medical school | University of Florida College of Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Quantum Radiology PCMarietta, GA · 103 clinicians
- Pro Radiology LLCAtlanta, GA · 102 clinicians
Hospital affiliations
- Wellstar Cobb Medical CenterAustell, GA
- Wellstar Douglas Medical CenterDouglasville, GA
- Wellstar Kennestone Regional Medical CenterMarietta, GA
- Wellstar North Fulton Medical CenterRoswell, GA
- Wellstar Paulding Medical CenterHiram, GA
Industry payments (Open Payments)
- 2024$19.15 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $19.15 | 1 |
What the 2024 payments were for
- Food and Beverage$19.15 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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