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EASTSIDE ORTHOCARE LLC
NPI 1447398086
Specialist in Snellville, GA

Active since February 04, 2007
2820 MAIN ST W, SNELLVILLE, GA 30078(770) 978-1422(770) 978-1423 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2021, Mar 1, 2021 (2 updates tracked since 2021).

About Eastside Orthocare Llc NPPES

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

EASTSIDE ORTHOCARE LLC (NPI 1447398086) is a healthcare organization registered as a specialist in Snellville, Georgia and active in the NPI registry since February 2007. The organization lists Craig M Mines, Owner President, as its authorized official.

NPPES Registry Identity

NPI1447398086
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEASTSIDE ORTHOCARE LLC
Location Address2820 MAIN ST WSnellville, GA 30078-3156
Mailing Address2820 Main St WSnellville, GA 30078-3156 · (770) 978-1422 · Fax (770) 978-1423
Phone(770) 978-1422
Fax(770) 978-1423
Organization SubpartNo
Authorized OfficialCraig M MinesOwner President · (770) 978-1422
Enumeration DateFebruary 4, 2007
Last NPPES UpdateJune 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1447398086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2820 MAIN ST W, Snellville, GA 30078
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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)

Eastside Orthocare Llc 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 Eastside Orthocare LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Craig Mines, MD
Orthopedic Surgery
NPI 1609874726
2820 MAIN ST W
Snellville, GA 30078
(770) 978-1422
✔ PECOS✔ Accepts MedicareSame address
Kaylee Sexton, PA-C
Orthopedic Surgery
NPI 1992598627
2820 MAIN ST W
Snellville, GA 30078
(770) 978-1422
✔ 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 Eastside Orthocare LLC's NPI number?

The NPI number for Eastside Orthocare LLC is 1447398086. It was assigned to this organization in the NPPES registry on February 4, 2007.

Where is Eastside Orthocare LLC located?

Eastside Orthocare LLC is located at 2820 Main St W, Snellville, GA 30078. The listed phone number is (770) 978-1422.

What is Eastside Orthocare LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Eastside Orthocare LLC enrolled in Medicare?

Yes. Eastside Orthocare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastside Orthocare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Eastside Orthocare LLC. 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 Eastside Orthocare LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eastside Orthocare LLC 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 Eastside Orthocare LLC was last updated on June 21, 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.