MEDICARE: JAMES T CRAIG JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	4665	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245225838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES T CRAIG JR. MD

Provider Business Mailing Address
First Line	:	11 OKEENA DR
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-8819
Country	:	US
Telephone Number	:	731-668-6540
Fax Number	:	731-668-9609

Provider Business Practice Location Address
First Line	:	1004 GREYSTONE SQ
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-3580
Country	:	US
Telephone Number	:	731-668-7375
Fax Number	:	731-668-2727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	02/12/2026

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