BENJAMIN PARKER SMITH (NPI# 1073995965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073995965 |
| Entity Type | Individual |
| Full Name | BENJAMIN PARKER SMITH |
| Credential | M.D. |
| Practice Address |
1199 Prince Ave Athens GA 30606-2767 |
| Practice Telephone | 8663218433 |
| Mailing Telephone | 8663218433 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 077787 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003192981B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 15th St, Augusta, GA 309120004 | 7067212705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498823 | Benjamin Smith | Behavioral Analyst | 9920 19th St Apt 59, Rancho Cucamonga, CA 91737-4268 | 2020-05-11 |
| 1326514217 | Benjamin Robert Smith | Counselor | 4509 Duplessis St, New Orleans, LA 70122-7600 | 2018-10-17 |
| 1144729328 | Benjamin Andrew Smith | Behavioral Analyst | 7755 Center Ave Ste 1100, Huntington Beach, CA 92647-3091 | 2018-02-02 |
| 1871954750 | Benjamin Smith | Physician Assistant | 15-2662 Pahoa Village Rd # 306, Pahoa, HI 96778 | 2016-03-18 |
| 1033579271 | Benjamin Smith | Counselor | 722 Mccain Dr, Monroe, LA 71203 | 2016-03-01 |
| 1295113322 | Benjamin Smith | Nurse Anesthetist, Certified Registered | 3879 Maggies Pl, Irondale, AL 35210-5509 | 2015-05-08 |
| 1821497793 | Benjamin Emory Smith | Social Worker | 425 Malbons Mills Rd, Skowhegan, ME 04976-4128 | 2014-08-17 |
| 1679853907 | Benjamin Levi Smith | Physical Therapist | 4824 Mcknight Rd, Texarkana, TX 75503-0935 | 2011-08-17 |
| 1497909550 | Benjamin David Smith | Optometrist | 1041 Acoma St, Denver, CO 80204-4034 | 2008-11-14 |
| 1376739631 | Benjamin Lightfoot Smith | Pediatrics | 302 Burnside Dr, San Antonio, TX 78209-2904 | 2007-09-20 |
| Street Address |
1199 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902271 | Joel P Cook | Radiology | 1199 Prince Ave, Athens, GA 30606-2797 | 2005-06-14 |
| 1780283200 | Jenny Edwards Tolley | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-10-26 |
| 1649896143 | Monique Mellissa Hayles | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-06-19 |
| 1407478514 | Andrew Finley Woodham | Physician Assistant | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-05-12 |
| 1366062713 | Mecca Sabri Bennett | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-04-24 |
| 1710521778 | Jessica Russell | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-11-03 |
| 1083178321 | Mary H Brown | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-30 |
| 1144784372 | Jennifer Simpson Etheridge | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-22 |
| 1629542089 | Ansley Brooke Waters | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-17 |
| 1740750462 | Jonathan Hydrick | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346426723 | Paul Buczynsky | Emergency Medicine | 1571 Spartan Ln, Athens, GA 30606-5386 | 2008-01-15 |
| 1407964356 | Sarvotham Kini | Emergency Medicine | 108 Spear Rd, Suite 309, Athens, GA 30602-0001 | 2006-08-29 |
| 1104933043 | Karl Harnish | Emergency Medicine | 39 Briarwood Dr, Athens, OH 45701-1302 | 2006-08-24 |
| 1003854738 | Brent Alan Beaird | Emergency Medicine | 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 | 2006-06-03 |
| 1962459941 | Jacqueline L. Heiser | Emergency Medicine | 265 W Union St Ste A, Athens, OH 45701-2313 | 2006-05-27 |
| 1205882834 | David Ryan Childress | Emergency Medicine | 711 Cook Dr, Suite 100, Athens, TN 37303-3486 | 2006-05-25 |
| 1568412146 | Perry R Hearn | Emergency Medicine | 775 Sunset Dr, Athens, GA 30606 | 2006-05-12 |
| 1700845195 | Alexander Paul Keller Iv | Emergency Medicine | 105 Trinity Pl, Athens, GA 30607-2112 | 2006-03-23 |
| 1063490415 | Cecil G Pinholster | Emergency Medicine | 485 Highway 29 N, Athens, GA 30601-5583 | 2006-01-05 |
| 1447232012 | Aimee T. Martin | Emergency Medicine | 55 Carlton St, Athens, GA 30602-1503 | 2005-11-18 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.