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NPI Code Detail

MEDICARE: ORIGINS SPINE AND JOINT PHYSICIANS, LLC

MEDICARE: ORIGINS SPINE AND JOINT PHYSICIANS, LLC
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
1208VP0014XInterventional Pain Medicine Physician

General Provider Information

NPI Number : 1437004843
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORIGINS SPINE AND JOINT PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 1747 LANGFORD DR BLDG 400
Second Line :
City : WATKINSVILLE
State : GA
Zip : 30677-7310
Country : US
Telephone Number : 706-521-8413
Fax Number :
Provider Business Practice Location Address
First Line : 1485 JESSE JEWELL PKWY NE STE 180
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3802
Country : US
Telephone Number : 706-521-8413
Fax Number :
Authorized Official
Title or Position : OWNER
Name : STEVE RICHARD CRIDER JR.
Credential :
Telephone Number : 706-521-8413
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ORIGINS SPINE AND JOINT PHYSICIANS, LLC ” Practice Location

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