Southern Vein Care
NPI 1184201022ActiveOrganization· Surgery· Newnan, GA
Surgery in Newnan, Georgia, registered in NPPES in March 2021. The authorized official on file is Garnet Roy Craddock, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184201022 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2021 |
| Last updated in NPPES | Mar 26, 2021 |
| Certified by provider | Mar 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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