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: July 26, 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
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

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
2820 MAIN ST W
SNELLVILLE, GA 30078
Physician Assistant
2820 MAIN ST W
SNELLVILLE, GA 30078

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.

When was this NPI record last updated?

The NPPES record for Eastside Orthocare LLC was last updated on June 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.