DR. CAROLYN RUTH SMALLWOOD (NPI# 1093079204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093079204 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN RUTH SMALLWOOD |
| Credential | D.O. |
| Practice Address |
1810 White Cir Suite 105 Marietta GA 30066-5835 |
| Practice Telephone | 6787976820 |
| Practice Fax Number | 7704248787 |
| Mailing Telephone | 6787976820 |
| Mailing Fax Number | 7704248787 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2016-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 74101 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | TL4519 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053621136 | Carolyn Hunter Smallwood | Speech-Language Pathologist | 2180 A1a S Ste 202, Saint Augustine, FL 32080-6523 | 2010-10-07 |
| 1578004552 | Carolyn C Smallwood | Physician Assistant | 3105 Independence Dr, Birmingham, AL 35209 | 2017-03-10 |
| Street Address |
1810 WHITE CIR SUITE 105 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-5835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356438097 | Paul Lance Walker | Family Medicine | 1810 White Cir, Suite 155, Marietta, GA 30066-5835 | 2006-10-06 |
| 1558749259 | Heather Esser | Physical Therapy Assistant | 1810 White Cir, Marietta, GA 30066-5835 | 2015-05-13 |
| 1205262292 | Wellstar Medical Group, LLC | Internal Medicine | 1810 White Cir, Suite 105, Marietta, GA 30066-5835 | 2013-09-23 |
| 1437591203 | Amy Rebecca Danforth Margrave | Nurse Practitioner | 1810 White Cir, Marietta, GA 30066-5835 | 2013-07-22 |
| 1043563695 | Kelsey Elizabeth Moore | Nurse Practitioner | 1810 White Cir, Marietta, GA 30066-5835 | 2012-10-19 |
| 1134471485 | Katherine M Williams | Nurse Practitioner | 1810 White Cir, Suite 105, Marietta, GA 30066-5835 | 2012-10-11 |
| 1518230226 | April Gardener | Physical Therapy Assistant | 1810 White Cir, Suite 120, Marietta, GA 30066-5835 | 2012-02-13 |
| 1699058131 | Pointmed | Family Medicine | 1810 White Cir, Suite 155, Marietta, GA 30066-5835 | 2011-09-21 |
| 1568755692 | Merrie Tanya Moon | Physician Assistant | 1810 White Cir, Suite 155, Marietta, GA 30066-5835 | 2011-05-23 |
| 1194015123 | Alesia Billingslea | Internal Medicine | 1810 White Cir, Suite 105, Marietta, GA 30066-5835 | 2011-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053885327 | Clinica De La Salud Smyrna, Inc | Family Medicine | 1815 S Cobb Dr Se Ste 101, Marietta, GA 30060-4958 | 2019-01-19 |
| 1033689351 | H&h Weight Loss LLC | Family Medicine | 3600 Dallas Hwy Sw Ste 210, Marietta, GA 30064-1687 | 2018-11-29 |
| 1801380886 | Virginia Hinton | Family Medicine | 1738 Bertram Ln Sw, Marietta, GA 30008-4138 | 2018-06-21 |
| 1285145573 | Mitchell Scott Nudelman | Family Medicine | 577 Seminole Dr Ne, Marietta, GA 30060-1507 | 2017-10-13 |
| 1740649771 | Christine Morris | Family Medicine | 141 Lacy St Nw Ste 100, Marietta, GA 30060-1117 | 2016-02-18 |
| 1891110268 | Edith I. Okoi Chukwunyere | Family Medicine | 2337 Goodwood Dr Sw, Marietta, GA 30064-4335 | 2014-02-21 |
| 1629407549 | Candace M. Walker | Family Medicine | 3707 Largent Way, Well Star West Cobb Family Practice, Marietta, GA 30064 | 2013-11-01 |
| 1982959987 | Norman Glenn Marvin | Family Medicine | 4220 Lower Roswell Rd, Unit #7300, Marietta, GA 30068-4128 | 2012-07-17 |
| 1457626855 | Gena Marie Mastrogianakis | Family Medicine | 3595 Canton Rd Ste 116-289, Marietta, GA 30066-2658 | 2012-03-19 |
| 1710271010 | Roland Ngwang | Family Medicine | 2698 Foxglove Dr Sw, Marietta, GA 30064-4546 | 2011-06-03 |
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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.