Craig Mines (NPI# 1609874726, PAC ID# 2769581214) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1609874726 |
| PAC ID by PECOS | 2769581214 |
| Professional Enrollment ID | I20070625000024 |
| Full Name | Craig Mines |
| Organization Legal Name | EASTSIDE ORTHOCARE LLC |
| Address |
2121 Fountain Dr Suite E Snellville GA 30078-2900 |
| Phone Number | 7709781422 |
| Gender | M |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1995 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6305945858 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| 110192 | EASTSIDE MEDICAL CENTER |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110046 | CLEARVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2121 Fountain Dr, Suite E, Snellville, GA 30078-2900 | 7709781422 | EASTSIDE ORTHOCARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | EASTSIDE ORTHOCARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lytle Brown | Physician Assistant | Eastside Orthocare LLC | 2121 Fountain Dr, Suite E, Snellville, GA 30078-2900 |
| Street Address |
2121 FOUNTAIN DR SUITE E |
| City | SNELLVILLE |
| State | GA |
| Zip | 30078-2900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose Dominguez | Internal Medicine | 2121 Fountain Dr, Suite A, Snellville, GA 30078-2900 | |
| Lytle Brown | Physician Assistant | Eastside Orthocare LLC | 2121 Fountain Dr, Suite E, Snellville, GA 30078-2900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
| Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
| Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Find all physicians in zip 30078 | |||
| City | SNELLVILLE |
| Zip Code | 30078 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SNELLVILLE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Craig Mines.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.