CRAIG M MINES (NPI# 1609874726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609874726 |
| Entity Type | Individual |
| Full Name | CRAIG M MINES |
| Credential | MD |
| Practice Address |
2121 Fountain Dr Suite E Snellville GA 30078-7023 |
| Practice Telephone | 7708764697 |
| Practice Fax Number | 7709781423 |
| Mailing Telephone | 7708764697 |
| Mailing Fax Number | 7709781423 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 01057724A | IN | Other Service Providers |
| Y | 207X00000X | Orthopaedic Surgery | 058902 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 773737921A | 05 | |
| IN | 200445180 | 05 |
| Street Address |
2121 FOUNTAIN DR SUITE E |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-7023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689050908 | Claire Velten | Physical Therapist | 2121 Fountain Dr, Suite E, Snellville, GA 30078-7023 | 2015-08-10 |
| 1407289903 | Samuel Boyd Kridl | Physical Therapist | 2121 Fountain Dr, Suite E, Snellville, GA 30078-7023 | 2013-08-20 |
| 1265879597 | Physical Rehab Medicine Specialists LLC | Physical Medicine & Rehabilitation | 2121 Fountain Dr, Ste D, Snellville, GA 30078-7023 | 2013-05-28 |
| 1902157423 | Olivia F Mulligan, Md, PC | Internal Medicine | 2121 Fountain Dr, Suite F, Snellville, GA 30078-7023 | 2012-09-24 |
| 1710251350 | Lytle Brown V | Physician Assistant | 2121 Fountain Dr, Suite E, Snellville, GA 30078-7023 | 2012-02-29 |
| 1023304086 | Michael S Kaplan Phd Md PC | Physical Medicine & Rehabilitation | 2121 Fountain Dr, Ste D, Snellville, GA 30078-7023 | 2011-06-28 |
| 1518259332 | Charetta Shawnette Oliver | Physical Therapist | 2121 Fountain Dr, Suite E, Snellville, GA 30078-7023 | 2011-05-12 |
| 1679761241 | Badar H Syed Md, PC | Specialist | 2121 Fountain Dr, Suite G, Snellville, GA 30078-2016 | 2007-10-09 |
| 1518150432 | Tanya M High | Homeopath | 2121 Fountain Dr, Suite E, Snellville, GA 30078-7023 | 2007-08-23 |
| 1073720959 | Eastside Urology | Urology | 2121 Fountain Dr, Suite D, Snellville, GA 30078-7023 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061000 | Esrpa | Orthopaedic Surgery | 1717 Benhill Dr, Snellville, GA 30078-2595 | 2020-10-24 |
| 1558656983 | Lattisha Latoyah Bilbrew | Orthopaedic Surgery | 1600 Medical Way Ste 150, Snellville, GA 30078-2166 | 2011-06-14 |
| 1770688392 | Gwinnett Bone & Joint Specialist | Orthopaedic Surgery | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2006-09-14 |
| 1437199312 | Michael Shane Smith | Orthopaedic Surgery | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2006-06-07 |
| 1154714277 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2015-03-13 |
| 1992110449 | Resurgens, PC | Orthopaedic Surgery | 1600 Medical Way, Suite 150, Snellville, GA 30078-2166 | 2014-06-24 |
| 1598945552 | William Kehne Moeller, Md, PC | Orthopaedic Surgery | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2007-11-07 |
| 1710014931 | Resurgens, PC | Orthopaedic Surgery | 1700 Tree Ln, Suite 300, Snellville, GA 30078-6782 | 2007-02-27 |
| 1841202017 | Fred Daniel Koch | Orthopaedic Surgery | 1600 Medical Way, Suite 150, Snellville, GA 30078-2166 | 2006-08-13 |
| 1720033400 | Sami Osman Khan | Orthopaedic Surgery | 1700 Tree Lane Rd, Suite 300, Snellville, GA 30078-6782 | 2006-05-23 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.