Origins Spine and Joint Physicians, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ORIGINS SPINE AND JOINT PHYSICIANS, LLC

Practice address

1747 Langford Drive
Building 400, Suite 103
Watkinsville, GA 30677

Phone

(706) 521-8413

Fax

(706) 521-8354

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Steve Richard Crider Jr., MDNPI 1053561811

Title

Owner/Doctor

Phone

(706) 521-8413

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Tax ID family

Origins Spine and Joint Physicians LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Origins Spine and Joint Physicians, LLC

  • Interventional Pain Medicine Physician
  • Gainesville, GA
  • NPI 1437004843
  NPD tax ID
• Origins Spine and Joint Physicians, LLC

  • Interventional Pain Medicine Physician
  • Gainesville, GA
  • NPI 1598651457
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve Richard Crider Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Watkinsville, GA
  • NPI 1053561811

  Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Prisca Delva, NP

  • Family Nurse Practitioner
  • Watkinsville, GA
  • NPI 1851105076
  Medicare reassignment Care Compare group NPD
• Dana Marie O'Connell, NP-C

  • Family Nurse Practitioner
  • Loganville, GA
  • NPI 1770972416
  Medicare reassignment Care Compare group NPD
• Shereen Xavier, FNP-C

  • Primary Care Nurse Practitioner
  • Watkinsville, GA
  • NPI 1225503212
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1669186094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 LANGFORD DRIVE",
            "address_2": "BUILDING 400, SUITE 103",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "706-521-8413",
            "fax_number": "706-521-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 LANGFORD DRIVE",
            "address_2": "BUILDING 400, SUITE 103",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "706-521-8413",
            "fax_number": "706-521-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1747 Langford Drive, Building 400",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "30677",
            "country_code": "US",
            "telephone_number": "706-521-8413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1485 Jesse Jewell Pkwy NE Ste 180",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013802",
            "country_code": "US",
            "telephone_number": "706-521-8413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORIGINS SPINE AND JOINT PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "CRIDER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "706-521-8413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.