KEVIN DESHAUN SMITH (NPI# 1205222189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205222189 |
| Entity Type | Individual |
| Full Name | KEVIN DESHAUN SMITH |
| Credential | M.D. |
| Practice Address |
3950 Austell Rd Austell GA 30106 |
| Mailing Address |
3950 Austell Rd Austell GA 30106-1121 |
| Practice Telephone | 7707324022 |
| Mailing Telephone | 7707324022 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 83486 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
83486 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Erwin Rd, Durham, NC 277104699 | 9196848111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394310 | Kevin Lee Smith | Technician | 97 Culp Dr, Ridgeley, WV 26753-7407 | 2020-07-29 |
| 1295397495 | Kevin James Smith | Social Worker | 1076 E Rubicon Dr, Boise, ID 83716-5279 | 2019-07-08 |
| 1649831546 | Kevin Smith | Dentist | 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 | 2019-06-22 |
| 1992362875 | Kevin Gene Smith | Social Worker | 1293 Page Rd, Raleigh, NC 27603-7334 | 2019-05-25 |
| 1700314952 | Kevin Matthew Smith | Pediatrics | 715 Camino Catalina, Solana Beach, CA 92075-1631 | 2017-06-01 |
| 1124565759 | Kevin Smith | Driver | 530 Yates Ave, Calumet City, IL 60409-3119 | 2017-01-20 |
| 1487005047 | Kevin Smith | Massage Therapist | 19615 Se 342nd St, Auburn, WA 98092-1500 | 2016-06-24 |
| 1679929806 | Kevin Smith | Durable Medical Equipment & Medical Supplies | 76 Birchmount Cir, West Henrietta, NY 14586-9452 | 2016-05-06 |
| 1871998716 | Kevin Michael Smith | Physical Therapist | 15 Corporate Plaza Dr Ste 130, Newport Beach, CA 92660-7940 | 2014-11-04 |
| 1144646993 | Kevin Smith | Occupational Therapist | 322 Pillings Pond Rd, Lynnfield, MA 01940-1345 | 2014-03-17 |
| Street Address |
3950 AUSTELL RD |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951369 | Olatunde Idowu | Internal Medicine | 3950 Austell Rd, Box 22, Austell, GA 30106-1121 | 2005-06-09 |
| 1962001834 | Camille Patrice Mckenzie-brown | Nurse Practitioner | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-10-22 |
| 1508487018 | Michelle Taylor Marbury | Pharmacist | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-05-06 |
| 1477174605 | Alexandra Kamman | Physical Therapist | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-04-28 |
| 1023637923 | Lauren Davison Warren | Registered Nurse | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-04-10 |
| 1932730306 | Kerstie Kay Sims | Registered Nurse | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-02-03 |
| 1386288280 | Karen L Taylor | Pharmacist | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-11-04 |
| 1619510740 | Taurus Rafeal Womble | Nurse Practitioner | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-10-22 |
| 1699325951 | Whitney Stafford | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-09-18 |
| 1174177752 | Amanda Mathews Vicznesky | Physician Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578811782 | Wellstar Medical Group, LLC | Hospitalist | 3950 Austell Rd, Ob/gyn Hospitalists, Austell, GA 30106-1121 | 2012-08-17 |
| 1811282502 | Wellstar Medical Group, LLC | Hospitalist | 3950 Austell Rd, Austell, GA 30106-1121 | 2011-06-10 |
| 1497913867 | Benadette Kerubo Makori-nelson | Hospitalist | 3950 Austell Rd, Box 22, Austell, GA 30106-1121 | 2008-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033770771 | Your Hospitalist Team LLC | Hospitalist | 2215 Autumn Ridge Ln, Cumming, GA 30041-1358 | 2019-06-24 |
| 1780194183 | Mobin Shah Inc | Hospitalist | 352 Langshire Dr, Mcdonough, GA 30253-8055 | 2017-10-11 |
| 1972036721 | Getnet Alemu Tioum | Hospitalist | 1267 Pounds Ln, Clarkston, GA 30021-2830 | 2017-04-08 |
| 1720531692 | Zahraa Rabeeah | Hospitalist | 390 17th St Nw Unit 5031, Atlanta, GA 30363-2015 | 2016-07-27 |
| 1245614973 | Donovan Philbrick | Hospitalist | 743 Spring Street, Office of Inpatient Medicine, Gainesville, GA 30501 | 2015-07-13 |
| 1932529732 | Munir Chaudhuri | Hospitalist | 1364 Clifton Road Ne Box M7, Atlanta, GA 30322-1029 | 2014-04-18 |
| 1982979373 | Rianot Amzat | Hospitalist | 5665 Peachtree Dunwoody # Ga, Suite 500, Atlanta, GA 30342-1701 | 2012-03-19 |
| 1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
| 1043528268 | Medcare Physicians of Central Georgia, LLC | Hospitalist | 1040 Founders Row, Ste A, Greensboro, GA 30642-5261 | 2010-09-22 |
| 1619293354 | Aaron D Gluth | Hospitalist | 1364 Clifton Rd Ne Box M-7, Atlanta, GA 30322-1059 | 2010-04-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KEVIN DESHAUN SMITH.
| 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.