NPIMap

Individual provider Active NPI

Dominique' Juanita Crain, MD

  • Hospitalist Physician
  • Snellville, GA
National Provider Identifier
1902332745
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
85140 Issued in GA
Practice address
1700 Medical Way
Snellville, GA 30078-2195
Phone
(770) 979-0200
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C3364 KY
Hospitalist Physician 208M00000X MD.38149 AL
Hospitalist Physician 208M00000X 85140 GA Primary

Addresses

Primary practice location

1700 Medical Way
Snellville, GA 30078-2195

Mailing address

PO Box 36258
Belfast, ME 04915-1204
Phone (251) 318-2678

Other practice location 1

6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone (678) 474-7000

Other practice location 2

200 E Chestnut St Bldg Suite303
Louisville, KY 40202-1831
Phone (502) 629-5552

Other practice location 3

911 Bypass Rd Bldg A
Pikeville, KY 41501-1602
Phone (606) 430-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcrain54160@pikevillekydirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, TN, KY4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210506002946 GA Practitioner - Family Practice 4688083462 Reassigns benefits to 3 organizations
I20231103002727 AL Practitioner - Hospitalist 4688083462
I20250114000283 TN Practitioner - Family Practice 4688083462 Reassigns benefits to 1 organization
I20250305002014 KY Practitioner - Family Practice 4688083462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2283

200 E Chestnut St
BLDG Suite303
Louisville, KY 40202-1831
Phone (502) 629-5552

7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 859-8000

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jan 9, 2025 Accepting new patients
Emory Specialty Associates, LLC Family Medicine CurrentSince Oct 31, 2024 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Nov 18, 2024 Accepting new patients
Community Medical Associates, Inc. Medical Current Accepting new patients
Dominique Crain Locums LLC Family Medicine Current Accepting new patients
Community Medical Associates, Inc. Family Medicine CurrentSince Jan 9, 2025 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Southeastern Physician Services PC Hospitalist CurrentSince Oct 22, 2024 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
USA Health HCA Providence Hospital LLC Past Accepting new patients
CHI Memorial Hospital - Georgia Past Accepting new patients

Locations

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

6325 Hospital Pkwy
Johns Creek, GA 30097
Phone (404) 251-1880

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: dcrain1030000@direct.emory.org
  • Direct secure messaging: dominiquecrain@napc.allscriptsdirect.net

Organizations & group practices 11

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

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1902332745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36258",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151204",
            "telephone_number": "251-318-2678",
            "fax_number": "251-405-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782195",
            "telephone_number": "770-979-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6325 Hospital Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300975775",
            "country_code": "US",
            "telephone_number": "678-474-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Chestnut St Bldg Suite303",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021831",
            "country_code": "US",
            "telephone_number": "502-629-5552",
            "fax_number": "502-629-3132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011602",
            "country_code": "US",
            "telephone_number": "606-430-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "DOMINIQUE'",
        "middle_name": "JUANITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "C3364",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD.38149",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "85140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcrain54160@pikevillekydirect.org",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.