Keirsun Crockett, MD
Diagnostic Radiology Physician · Marietta, GA
Keirsun Crockett, MD is a diagnostic radiology physician with a practice address in Marietta, Georgia, and NPI 1750678967, issued on Jul 8, 2011. Check the license (Georgia 077719, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Keirsun Crockett
- Credential
- MD
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License numbers
- 077719 GA
0116023629 VA
Self-reported in NPPES; status is on the state search - Practice location
- 790 Church St NE, Marietta, GA 30060
- Phone
- (678) 239-0420
- Enumerated
- Jul 8, 2011
- Record last updated
- Feb 21, 2024
- Medicare enrollment
- Enrolled (PECOS I20170817002445); accepts Medicare assignment
- Medical or professional school
- University Of Florida College Of Medicine, 2011
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 1,065 in Georgia → Look up another NPI →
Also registered at 790 Church St NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joseph Armistead, MDDiagnostic Radiology Physician1851365654
- Kevin Ballard, P.A.Physician Assistant1225317365
- Pooja Bardhan, MDHematology & Oncology Physician1962601344
- Windy Bernard, PA-CPhysician Assistant1487698957
- Linda Blom, MDDiagnostic Radiology Physician1902872013
- Kevin Blount, MDDiagnostic Radiology Physician1679795538
Verify Keirsun Crockett in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 077719Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 92.9 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $19.15
1 payment: food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 8,048 providers of this specialty with any payment received $2,488.38 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Pro Radiology LLCAtlanta, GA
- Quantum Radiology PCEast Point, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Keirsun Crockett among 1,065 diagnostic radiology physician records in Georgia
Keirsun Crockett, MD is one of 1,065 diagnostic radiology physician records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 74% of them.
- NPI issued2011 · 74% of these records are older, 24% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2011 · median 2004 among the 742 with a school on file
- Record last updated2024 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
97 diagnostic radiology physician records list a practice address in Marietta
They are 97 of the 6,900 NPPES records with a practice address in Marietta, and 1,065 diagnostic radiology physician records in Georgia.
All 1,065 in Georgia → Every provider in Marietta → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Joseph Armistead, MDMarietta, GA 300601851365654
- Steven Brantley, MDMarietta, GA 300601972577781
- Jay Cinnamon, MDMarietta, GA 300601194791491
- Michael Collins, MDMarietta, GA 300601386633238
- Jaydip Datta, MDMarietta, GA 300601730155854
- Kevin Early, MDMarietta, GA 300601245206549
- John Gira, MDMarietta, GA 300601861468175
- Brian Gordon, MDMarietta, GA 300601083680326
Common questions
What is Keirsun Crockett, MD's NPI number?
Keirsun Crockett, MD's National Provider Identifier (NPI) is 1750678967, issued on Jul 8, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Keirsun Crockett, MD located?
The NPPES record lists a practice address at 790 Church St NE, Marietta, GA, 30060. Phone: (678) 239-0420. Providers update this record themselves, so call before visiting.
How can I verify Keirsun Crockett, MD's license?
NPPES lists Georgia license number 077719, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Keirsun Crockett, MD's MIPS final score?
The 2023 MIPS final score is 92.9 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.