P Praxis·MD
● Active Type 1 · Individual

DR. Deidre Denise Crocker, MD

Allergy & Immunology·Conyers, GA· NPI 1790947117 · Enumerated 2008 · 17 years on NPI
Crocker is 1 of 2 allergy & immunology providers in Conyers and 1 of 151 in Georgia.
NPI age
17 years
Enumerated 2008-06-26
Primary specialty
Allergy & Immunology
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-11-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 151 active allergy & immunology providers in Georgia.

NPI age
17 years
↓ 2 yr below median (19 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
2
In the 37% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
2390 Wall St Se
Conyers, GA 300132150
📞 7709225696fax 7709221065
Mailing address
2390 Wall St Se
Conyers, GA 300132150
📞 7709225696fax 7709221065

Specialties

  • Allergy & Immunology Primary
    An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
    GA license #056811 taxonomy 207K00000X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #056811 taxonomy 208000000X
  • Preventive Medicine
    Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with...
    GA license #056811 taxonomy 2083P0901X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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