Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Tia Tonette Haley-Crawford, FNP-C

Individual provider Nurse Practitioner · NPI 1558210419

Mrs. Tia Tonette Haley-Crawford, FNP-C is a Nurse Practitioner in Port Wentworth, Georgia. Qualified in 2025, 1 year ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2026
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

7 Goose Neck Rd
Port Wentworth, GA 31407-6001
Phone: (191) 227-2989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN-NP212350 (GA)

Record details

NPI number1558210419
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJanuary 24, 2026
Last updated in NPPESJanuary 24, 2026
Certification dateJanuary 24, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Ennoble Hc Dmv LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 111 clinicians in the practice; 12 are shown here.