Craig Todd Kerins, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Augusta, GA
NPI 1669433975 · NPPES record last updated Apr 3, 2019
Key facts
- NPI
- 1669433975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 21170 (GA)
- Practice address
- 1706 Magnolia Way
Augusta, GA 30909-9481 - Phone
- (706) 210-7529
- Fax
- (706) 312-7610
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21170 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine Associates of Augusta, LLC | Orthopaedic Surgery | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 21170 | GA | Yes |
Addresses
Primary practice location
1706 Magnolia Way
Augusta, GA 30909-9481
Mailing address
1706 Magnolia Way
Augusta, GA 30909-9481
Phone (706) 210-7529
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| REF000016653 | Medicaid | GA | |
| 9241 | Medicaid | SC |
Other providers in Augusta, GA
- Ralph A Kenny
- Suzanne W. Kenrick
- Amanda B Kent
- Nada Jean Kent
- Thomas Ashton Kepler
- Rebecca Kerko
- Jean F Kernaghan
- Catherine Elizabeth Kerr
- Angela McGaha Kersey
- Rebecca Youngblood Kershner
All providers in Augusta, GA · Orthopaedic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.