NPIMap

Individual provider Active NPI

Craig M Mines, MD

  • Orthopaedic Surgery Physician
  • Snellville, GA
National Provider Identifier
1609874726
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
058902 Issued in GA
Practice address
2820 Main St W
Snellville, GA 30078-3156
Phone
(770) 978-1422
Fax
(770) 978-1423
NPI assigned
Jul 12, 2005
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01057724A IN
Orthopaedic Surgery Physician 207X00000X 058902 GA Primary

Addresses

Primary practice location

2820 Main St W
Snellville, GA 30078-3156

Mailing address

2820 Main St W
Snellville, GA 30078-3156
Phone (770) 978-1422

Other identifiers 2

IdentifierTypeStateIssuer
200445180MedicaidIN
773737921AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070625000024 GA Practitioner - Orthopedic Surgery 2769581214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Orthocare LLCGroup PAC ID 6305945858, 2 clinicians

Practice addresses (Care Compare)

2300 Manchester Expy
Columbus, GA 31904-6802
Phone (706) 324-7753

2820 Main St W
Snellville, GA 30078-3156
Phone (770) 978-1422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01057724AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Practices LLC CurrentSince Jan 6, 2025 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
Eastside Orthocare LLC Specialist CurrentSince May 1, 2007 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 6, 2025 Accepting new patients
Knox Community Hospital Past Accepting new patients
Knox Orthopaedic & Sports Medicine Center, LLC Orthopaedic Surgery Past Accepting new patients

Locations

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Columbus, GA 31904
Phone (706) 243-4594

2121 Fountain Dr
Ste E
Snellville, GA 30078
Phone (678) 694-8408

2820 Main St W
Snellville, GA 30078
Phone (770) 676-9805

Interoperability endpoints

  • Direct secure messaging: craig.mines@1445.chartlogic.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1609874726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 MAIN ST W",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783156",
            "telephone_number": "770-978-1422",
            "fax_number": "770-978-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 MAIN ST W",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783156",
            "telephone_number": "770-978-1422",
            "fax_number": "770-978-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINES",
        "first_name": "CRAIG",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2021-09-02",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01057724A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "058902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200445180",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "773737921A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.