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GARNET R. CRADDOCK JR. M.D.
NPI 1588646012
Surgery in Newnan, GA

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
2959 SHARPSBURG MCCULLUM RD, NEWNAN, GA 30265(770) 683-8346(770) 502-2056 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2020, Dec 9, 2015 (2 updates tracked since 2015).

About Garnet R. Craddock Jr. M.d. NPPES

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

GARNET R. CRADDOCK JR. M.D. (NPI 1588646012) is an individual surgery provider in Newnan, Georgia, licensed in Georgia (033061) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (1984).

NPPES Registry Identity

NPI1588646012
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGARNET R. CRADDOCK JR.Credential: M.D.
Location Address2959 SHARPSBURG MCCULLUM RDNewnan, GA 30265-2297
Mailing Address2959 Sharpsburg Mccullum RdNewnan, GA 30265-2297 · (770) 683-8346 · Fax (770) 502-2056
Phone(770) 683-8346
Fax(770) 502-2056
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1984
Enumeration DateNovember 18, 2005
Last NPPES UpdateMay 20, 20202 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1588646012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 033061
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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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Garnet R. Craddock Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012902976
PECOS Enrollment IDI20040616000327
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
339 services175 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
130 services99 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
92 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
87 services65 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
80 services53 patients
Strapping, unna boot 29580
An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.
57 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
21%203 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
66%135 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%204 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
69%213 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
57%120 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

TARA CATHERINE MULVANY M.O.T. R/L, CSI
Occupational Therapist
2959 SHARPSBURG MCCULLUM RD, BUILDING C, SUITE C
NEWNAN, GA 30265
Coweta County (770) 683-0250
SOUTHERN VEIN CARE
Surgery
2959 SHARPSBURG MCCULLUM RD
NEWNAN, GA 30265
Coweta County (770) 683-8346
PARUL DUTTA MD FACP
Internal Medicine
2959 SHARPSBURG MCCULLUM RD
NEWNAN, GA 30265
Coweta County (917) 808-3968
REBECCA HARRIS M.O.T. R/L
Occupational Therapist
2959 SHARPSBURG MCCULLUM RD, BLDG. C, STE C
NEWNAN, GA 30265
Coweta County (770) 683-0250
CHERIE OATES-OYAIFO PA
Physician Assistant
2959 SHARPSBURG MCCULLUM RD
NEWNAN, GA 30265
Coweta County (770) 502-2040
DAVID FREEMAN MOT
Occupational Therapist
2959 SHARPSBURG MCCULLUM RD, BLDG C, SUITE C
NEWNAN, GA 30265
Coweta County (770) 683-0250
KAREN KINARD BALAZE M.S., O.T.R/L
Occupational Therapist
2959 SHARPSBURG MCCULLUM RD, BUILDING C, SUITE C
NEWNAN, GA 30265
Coweta County (770) 683-0250
JENNIFER HARRISON M.S.SLP
Speech-Language Pathologist
2959 SHARPSBURG MCCULLUM RD, BLDG C, STE C
NEWNAN, GA 30265
Coweta County (770) 683-0250

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 Garnet Craddock's NPI number?

The NPI number for Garnet Craddock is 1588646012. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Garnet Craddock located?

Garnet Craddock practices at 2959 Sharpsburg Mccullum Rd, Newnan, GA 30265. The listed phone number is (770) 683-8346.

What is Garnet Craddock's specialty?

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

Is Garnet Craddock enrolled in Medicare?

Yes. Garnet Craddock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Garnet Craddock accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Garnet Craddock 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.

Is Garnet Craddock affiliated with any hospitals?

According to CMS data, Garnet Craddock is affiliated with Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Garnet Craddock was last updated on May 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.