ORIGINS SPINE AND JOINT PHYSICIANS, LLC
NPI 1669186094
Pain Medicine - Interventional Pain Medicine in Watkinsville, GA

Active since January 10, 2023
1747 LANGFORD DRIVE, BUILDING 400, SUITE 103, WATKINSVILLE, GA 30677(706) 521-8413(706) 521-8354 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2025, Feb 22, 2023, Jan 10, 2023 (3 updates tracked since 2023).

About Origins Spine And Joint Physicians, Llc NPPES

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

ORIGINS SPINE AND JOINT PHYSICIANS, LLC (NPI 1669186094) is a healthcare organization registered as an interventional pain medicine in Watkinsville, Georgia and active in the NPI registry since January 2023. The organization maintains 2 additional practice locations and lists Steve Richard Crider, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1669186094
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameORIGINS SPINE AND JOINT PHYSICIANS, LLC
Location Address1747 LANGFORD DRIVE, BUILDING 400, SUITE 103Watkinsville, GA 30677
Mailing Address1747 Langford Drive, Building 400, Suite 103Watkinsville, GA 30677 · (706) 521-8413 · Fax (706) 521-8354
Fax(706) 521-8354
Organization SubpartNo
Authorized OfficialSteve Richard CriderOwner/doctor · (706) 521-8413
Enumeration DateJanuary 10, 2023
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1669186094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1747 LANGFORD DRIVE, Watkinsville, GA 30677

Secondary Practice Locations 2

Location 11747 Langford Drive, Building 400, Suite 101Watkinsville, GA 30677 · Phone (706) 521-8413
Location 21485 Jesse Jewell Pkwy NE Ste 180Gainesville, GA 30501-3802 · Phone (706) 521-8413

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Origins Spine And Joint Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20231002003740DME · Physician - Interventional Pain ManagementDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Origins Spine And Joint Physicians, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1851105076
1747 LANGFORD DR STE 103
Watkinsville, GA 30677
(706) 521-8413
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1053561811
1747 LANGFORD DR STE 103
Watkinsville, GA 30677
(706) 521-8413
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225503212
1747 LANGFORD DR BLDG 400-103
Watkinsville, GA 30677
(706) 521-8413
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770972416
4589 LAWRENCEVILLE RD
Loganville, GA 30052
(770) 466-8672
✔ PECOS✔ Accepts Medicare25 mi

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 Origins Spine And Joint Physicians, LLC's NPI number?

The NPI number for Origins Spine And Joint Physicians, LLC is 1669186094. It was assigned to this organization in the NPPES registry on January 10, 2023.

Where is Origins Spine And Joint Physicians, LLC located?

Origins Spine And Joint Physicians, LLC is located at 1747 Langford Drive Building 400, Suite 103, Watkinsville, GA 30677. The listed phone number is (706) 521-8413.

What is Origins Spine And Joint Physicians, LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Origins Spine And Joint Physicians, LLC enrolled in Medicare?

Yes. Origins Spine And Joint Physicians, LLC is registered in the Medicare PECOS enrollment system.

When is Origins Spine And Joint Physicians, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Georgia, Physician - Interventional Pain Management) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Origins Spine And Joint Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Origins Spine And Joint Physicians, 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. The largest specialties are Nurse Practitioner (3) and Anesthesiology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Origins Spine And Joint Physicians, LLC was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.