MR. EDMUND EARL SMITH (NPI# 1255952107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255952107 |
| Entity Type | Individual |
| Full Name | MR. EDMUND EARL SMITH |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
720 Westview Dr Sw Atlanta GA 30310-1458 |
| Mailing Address |
580 Holderness St Sw Atlanta GA 30310-1747 |
| Practice Telephone | 4047521500 |
| Mailing Telephone | 4047889091 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134427586 | Edmund Joyce Smith | Social Worker | 37 Commerce Ave, Danielson, CT 06239-2804 | 2011-03-09 |
| Street Address |
720 WESTVIEW DR SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30310-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494237 | Sherry Crump | Preventive Medicine | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2005-08-22 |
| 1033732581 | Kevin Andrew Scott Carroll II | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310 | 2020-05-19 |
| 1326660002 | Uchechukwu P Ezeigwe | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-05-15 |
| 1346862109 | Ogechi J Nwoko | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-05-14 |
| 1194347906 | Rukayat Toyin Ajao | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-05-14 |
| 1154942894 | Amarachi C. Odu | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Physician Assistant Studies, Atlanta, GA 30310 | 2020-05-05 |
| 1750902300 | Nicolle Ramsay-de Jesus | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Physician Assistant Studies, Atlanta, GA 30310 | 2020-05-05 |
| 1689295248 | Tara Martin | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Physician Assistant Studies Msm, Atlanta, GA 30310-1458 | 2020-05-05 |
| 1477174308 | Krystle L Richmond | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-05-01 |
| 1447871389 | Quaadir Jamii Otto-smallwood | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1629636683 | Manan Shah | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-06-04 |
| 1780242420 | Fortunate Amarachukwu Ejimone | Student in an Organized Health Care Education/Training Program | 720 Westview Dr. Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-05-29 |
| 1922589589 | Bria Campbell | Counselor | 1009 Windsor St Sw, Atlanta, GA 30310 | 2018-08-22 |
| 1821583584 | Onyedikachi Kenneth Michaels | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-06-26 |
| 1881185387 | Precious Oghenefejiro Odunvbun | Student in an Organized Health Care Education/Training Program | 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 | 2018-05-21 |
| 1598253908 | Chinonyelum Doris Nwagbara | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 | 2018-05-01 |
| 1679060552 | Danielle Nicole Oliver | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-04-17 |
| 1376049072 | Ngozi Egondu Okanu | Student in an Organized Health Care Education/Training Program | Gme 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-04-02 |
| Find all providers in zip 30310 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1083227821 | Jessica Haley Senft | Physician Assistant | 4274 Olde Mill Ln Ne, Atlanta, GA 30342-3400 | 2020-08-30 |
| 1801405758 | Philip Sangster | Physician Assistant | 3485 Greystone Cir, Atlanta, GA 30341-5854 | 2020-07-27 |
| 1114544525 | Nicole Warner | Physician Assistant | 1100 Faith Ave Se, Atlanta, GA 30316-1504 | 2020-07-01 |
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1972125557 | Karen Charisse Forbes | Physician Assistant | 1600 Clifton Rd Ne # H16-1, Atlanta, GA 30329-4018 | 2020-05-17 |
| 1588290316 | Julie Teresa Lovelly | Physician Assistant | 1220 Caroline St Ne Ste A-230, Atlanta, GA 30307-2749 | 2020-03-12 |
| 1104463645 | Hannah Elyse Galvan | Physician Assistant | 550 Peachtree St Ne Bldg Rm3245a, Atlanta, GA 30308-2247 | 2019-12-03 |
| Find all providers in ATLANTA | ||||
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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.