Provider Demographics
NPI:1598651457
Name:ORIGINS SPINE AND JOINT PHYSICIANS, LLC
Entity type:Organization
Organization Name:ORIGINS SPINE AND JOINT PHYSICIANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:CRIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-521-8413
Mailing Address - Street 1:1747 LANGFORD DR BLDG 400-103
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-7370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1485 JESSE JEWELL PKWY NE STE 180
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3802
Practice Address - Country:US
Practice Address - Phone:706-521-8413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty