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SOUTHERN VEIN CARE
NPI 1184201022
Surgery in Newnan, GA

Active since March 26, 2021
2959 SHARPSBURG MCCULLUM RD, NEWNAN, GA 30265(770) 683-8346(770) 916-7642 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Vein Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN VEIN CARE (NPI 1184201022) is a healthcare organization registered as a surgery in Newnan, Georgia and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Peachtree City and lists Garnet Roy Craddock, Owner, as its authorized official.

NPPES Registry Identity

NPI1184201022
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTHERN VEIN CARE
Location Address2959 SHARPSBURG MCCULLUM RDNewnan, GA 30265-2297
Mailing Address2959 Sharpsburg Mccullum RdNewnan, GA 30265-2297 · (770) 683-8346 · Fax (770) 916-7642
Phone(770) 683-8346
Fax(770) 916-7642
Organization SubpartNo
Authorized OfficialGarnet Roy CraddockOwner · (770) 683-8346
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1184201022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2959 SHARPSBURG MCCULLUM RD, Newnan, GA 30265
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Secondary Practice Location 1

Location 11975 Highway 54 W Ste 110Peachtree City, GA 30269-4794 · Phone (770) 683-8346 · Fax (770) 916-7642

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Vein Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Vein Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Garnet Craddock, M.D.
General Surgery
NPI 1588646012
2959 SHARPSBURG MCCULLUM RD
Newnan, GA 30265
(770) 683-8346
✔ PECOS✔ Accepts MedicareSame address
Lindsey Witt, WHNP
Nurse Practitioner
NPI 1275855504
2959 SHARPSBURG MCCOLLUM RD
Newnan, GA 30265
(770) 683-8346
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Vein Care's NPI number?

The NPI number for Southern Vein Care is 1184201022. It was assigned to this organization in the NPPES registry on March 26, 2021.

Where is Southern Vein Care located?

Southern Vein Care is located at 2959 Sharpsburg Mccullum Rd, Newnan, GA 30265. The listed phone number is (770) 683-8346.

What is Southern Vein Care's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Southern Vein Care enrolled in Medicare?

Yes. Southern Vein Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Vein Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Vein Care, in General Surgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Vein Care accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Vein Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Vein Care was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.