MR. MICHAEL DEWAYNE CRAIG (NPI# 1538559240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538559240 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DEWAYNE CRAIG |
| Credential | CSA |
| Practice Address |
3063 Battlefield Pkwy Fort Oglethorpe GA 30742 |
| Mailing Address |
282 Angel Lane Ringgold GA 30736 |
| Practice Telephone | 4236672883 |
| Practice Fax Number | 7068611907 |
| Mailing Telephone | 4236672883 |
| Mailing Fax Number | 7068611907 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902131071 | Michael William Craig | Internal Medicine | 4482 Blairgowrie Cir, Dayton, OH 45429-1853 | 2009-10-07 |
| 1922281476 | Michael Joseph Craig | Social Worker | 4257 Tazewell Ter, Burtonsville, MD 20866-1311 | 2007-12-06 |
| 1871613596 | Michael Kale Craig | Dentist | 900 E Cherokee St, Wagoner, OK 74467-4718 | 2007-03-29 |
| 1770683534 | Michael D. Craig | Chiropractor | 4916 Ne St Johns Rd, Vancouver, WA 98661-2547 | 2006-09-22 |
| 1194759084 | Michael J Craig | Orthopaedic Surgery | 55 Cove Rd, Canaan, NH 03741 | 2006-07-10 |
| 1750363925 | Michael T. Craig | Ophthalmology | 2300 Baton Rouge, Lima, OH 45805-1130 | 2005-11-15 |
| 1518951664 | Michael Scott Craig | Family Medicine | 1880 Old Hwy 51, Suite C, Brighton, TN 38011-7043 | 2005-09-06 |
| 1417416538 | Michael Craig | Chiropractor | 6063 Peachtree Pkwy Ste 103b, Norcross, GA 30092-3302 | 2019-03-18 |
| 1427429380 | Michael Craig | Physician Assistant | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 | 2015-10-16 |
| 1184902496 | Michael E Craig | Physician Assistant | 3100 Duraleigh Rd Ste 100, Raleigh, NC 27612-8105 | 2011-08-03 |
| Street Address |
3063 BATTLEFIELD PKWY, |
| City | FORT OGLETHORPE |
| State | GA |
| Zip Code | 30742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295972 | Essential Dental, Inc. | Clinic/Center | Essential Dental, Inc, 1188 Cross Street, Fort Oglethorpe, GA 30742 | 2018-12-05 |
| 1760993646 | Mary Lucinda Williams | Counselor | 2007 Old Lafayette Road, Ft. Oglethorpe, GA 30742 | 2017-10-18 |
| 1689120321 | Mary Elizabeth O'brien | Physical Therapist | 2403 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2016-09-01 |
| 1952768624 | Richard Falconbury | Audiologist-Hearing Aid Fitter | 967 Battlefield Pkwy, Ft Oglethorpe, GA 30742 | 2016-01-26 |
| 1720471469 | Fred Gilreath | Pharmacist | 3801 Tennessee Ave., Fort Oglethorpe, GA 30742 | 2015-03-05 |
| 1003232968 | Carla Myers | Counselor | 1875 Fant Drive, Lookout Mountain Community Services, Ft. Oglethorpe, GA 30742 | 2014-03-14 |
| 1386823680 | Lisa L. Bethea | Anesthesiology | 504 N. Thomas Rd, Suite 200, Hutcheson Medical Center, Fort Oglethorpe, GA 30742 | 2007-11-02 |
| 1487857447 | James Andrew Scolet | Physical Therapy Assistant | Nhc Healthcare, 2203 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2007-06-07 |
| 1548338296 | Amy C Williams | Occupational Therapist | 118 Herron Street, Ft Oglethorpe, GA 30742 | 2006-12-01 |
| 1508813023 | Pruitthealth - Fort Oglethorpe, LLC | Skilled Nursing Facility | 1067 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2006-05-29 |
| Find all providers in zip 30742 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748409 | Jesse Aaron Denson | Physician Assistant | 2046 Point Grey Ct Nw, Kennesaw, GA 30152-8276 | 2020-10-20 |
| 1568074227 | James D Craig | Physician Assistant | 3210 New College Way, Cumming, GA 30041-2896 | 2020-08-23 |
| 1982223244 | Keith Hawkins | Physician Assistant | 8498 Glenview St, Douglasville, GA 30134-5639 | 2020-04-15 |
| 1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
| 1255962205 | Songthu Nguyen | Physician Assistant | 6119 Foxcroft Ct, Morrow, GA 30260-1069 | 2020-01-29 |
| 1265071229 | Stellar Surgical Assisting | Physician Assistant | 3446 Winder Hwy Ste M-322, Flowery Branch, GA 30542-3007 | 2019-12-22 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
| 1891257028 | Symmetry Surgical Billing LLC | Physician Assistant | 5135 Mirror Lake Dr, Cumming, GA 30028-7216 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT OGLETHORPE |
| Zip Code | 30742 |
Please comment or provide details below to improve the information on MR. MICHAEL DEWAYNE CRAIG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.