Healthcare Provider Details

I. General information

NPI: 1992671242
Provider Name (Legal Business Name): CRAIG WELLNESS AND RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2205 RIVERSTONE BLVD STE 205
CANTON GA
30114-5250
US

IV. Provider business mailing address

2205 RIVERSTONE BLVD STE 205
CANTON GA
30114-5250
US

V. Phone/Fax

Practice location:
  • Phone: 770-720-5011
  • Fax: 770-345-1088
Mailing address:
  • Phone: 770-720-5011
  • Fax: 770-345-1088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES C CRAIG
Title or Position: OWNER / CMO
Credential: MD
Phone: 770-720-5011