VEKETA HARRIS SMITH (NPI# 1265704860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265704860 |
| Entity Type | Individual |
| Full Name | VEKETA HARRIS SMITH |
| Credential | PA-C |
| Practice Address |
1265 Highway 54 W Suite 201 Fayetteville GA 30214-4548 |
| Practice Telephone | 6784353045 |
| Practice Fax Number | 6784353044 |
| Mailing Telephone | 6784353045 |
| Mailing Fax Number | 6784353044 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2245 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1265 HIGHWAY 54 W SUITE 201 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315820 | John E Burney | Internal Medicine | 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214-4537 | 2005-06-09 |
| 1417314527 | Amanda Murphy | Specialist/Technologist | 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548 | 2016-01-20 |
| 1366854077 | Kimberly Michelle Diprima | Physician Assistant | 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548 | 2014-05-29 |
| 1710248901 | Mandy G Osburn | Physical Therapist | 1265 Highway 54 W, Suite 102 & 308, Fayetteville, GA 30214-4548 | 2012-06-04 |
| 1104190990 | Jarryd A Jackson | Pharmacist | 1265 Highway 54 W, Suite #201, Fayetteville, GA 30214-4548 | 2012-02-27 |
| 1215225560 | Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1265 Highway 54 W, Fayetteville, GA 30214-4548 | 2011-07-20 |
| 1881982817 | Ford H Cooper | Physical Therapist | 1265 Highway 54 W, Suite 308, Fayetteville, GA 30214-4548 | 2011-07-12 |
| 1518283308 | Ameera Waseem Siddiqi | Internal Medicine | 1265 Highway 54 W, Suite 201, Fayetteville, GA 30214-4548 | 2010-04-19 |
| 1316263494 | Ashlea Lakesha Cannon | Physician Assistant | 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548 | 2010-04-14 |
| 1972825990 | Gweneth Malicia Francis | Internal Medicine | 1265 Highway 54 W, Suite 201, Fayetteville, GA 30214-4548 | 2010-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| 1578050480 | Marlee Anne Fallon | Physician Assistant | 4402 Medical Center Dr Ste 402, Fayetteville, NY 13066-6626 | 2018-04-16 |
| 1285149781 | Rebecca Anderson | Physician Assistant | 413 Owen Dr Ste 201, Fayetteville, NC 28304-3490 | 2017-12-06 |
| 1750807186 | Julia Niemi | Physician Assistant | 2409 Murchison Rd # B, Fayetteville, NC 28301-3519 | 2017-08-17 |
| 1548709991 | Pallavi Annamaneni | Physician Assistant | 2149 Valleygate Dr Ste 102, Fayetteville, NC 28304-3666 | 2017-02-17 |
| 1124457650 | Amanda Warden | Physician Assistant | 89 Cowley Hollow Rd, Fayetteville, TN 37334-6947 | 2013-11-05 |
| 1639473739 | Andrea Bethauser | Physician Assistant | 918 Hope Mills Rd, Fayetteville, NC 28304-4243 | 2011-01-04 |
| 1891928941 | Gladys Maria Rivero | Physician Assistant | 3450 Sandystone Cir, Fayetteville, NC 28311-2503 | 2009-08-24 |
| 1366524092 | Lisa Aldrin Rojeski | Physician Assistant | 4038 N Remington Dr, Suite 4, Fayetteville, AR 72703-6345 | 2006-10-20 |
| 1902829039 | Michael John Winn | Physician Assistant | 5511 Raeford Road, Suite 150, Fayetteville, NC 28304-2058 | 2006-07-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on VEKETA HARRIS 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.