Active NPI
Tamara Alyce Craig
- Other Technician
- Fayetteville, GA
National Provider Identifier
1023954740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- ES-002867
- Practice address
- 500 Lanier Ave W Ste 602
Fayetteville, GA 30214-7644 - Phone
- (678) 471-9335
- NPI assigned
- Apr 25, 2026
- Last updated
- Apr 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | ES-002867 | GA | Primary |
Addresses
Primary practice location
500 Lanier Ave W Ste 602
Fayetteville, GA 30214-7644
Mailing address
4317 Montberry LN
Fairburn, GA 30213-6551
Phone (678) 471-9335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-3219954 | Other | GA | SKINCARE CORRECTION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ES-002867 | GA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777075200000",
"number": "1023954740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 MONTBERRY LN",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136551",
"telephone_number": "678-471-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LANIER AVE W STE 602",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147644",
"telephone_number": "678-471-9335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "TAMARA",
"middle_name": "ALYCE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-25",
"last_updated": "2026-04-25",
"certification_date": "2026-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "GA",
"license": "ES-002867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SKINCARE CORRECTION",
"identifier": "84-3219954",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.