SIDNEY P SMITH MD PC (NPI# 1427039254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427039254 |
| Entity Type | Organization |
| Organization Name | SIDNEY P SMITH MD PC |
| Other Organization Name | GEORGIA SKIN AND CANCER CLINIC |
| Practice Address |
900 Mohawk St E Savannah GA 31419-1780 |
| Practice Telephone | 9129250067 |
| Practice Fax Number | 9129270267 |
| Mailing Telephone | 9129250067 |
| Mailing Fax Number | 9129270267 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2016-05-10 |
| Authorized Official Name | MR. SIDNEY P SMITH III (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9129250067 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GPA574 | 05 |
| Other Name | Type Code |
|---|---|
| georgia skin and cancer clinic | Doing Business As Name - Organization |
| Street Address |
900 MOHAWK ST E |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612717 | Meghan K Mcgovern | Specialist | 900 Mohawk St, Suite A, Savannah, GA 31419-1780 | 2005-07-07 |
| 1740896059 | Charlene Rh Dimond | Registered Nurse | 900 Mohawk St, Savannah, GA 31419 | 2020-09-22 |
| 1184075012 | Martina Kolovich | Nurse Practitioner | 900 Mohawk St, Ste E, Savannah, GA 31419-1844 | 2016-06-22 |
| 1649312976 | Marsha L Brantley | Registered Nurse | 900 Mohawk St, Suite A, Savannah, GA 31419-1780 | 2007-02-13 |
| 1306996350 | Karen Mcbride | Registered Nurse | 900 Mohawk St, Suite A, Savannah, GA 31419-1780 | 2007-01-11 |
| 1851338131 | Renewalmd, PC | Plastic Surgery | 900 Mohawk St, Suite A, Savannah, GA 31419 | 2006-06-02 |
| 1295791408 | Cynthia Ann Doallas | Dermatology | 900 Mohawk St, Savannah, GA 31419-1780 | 2006-04-25 |
| 1104817410 | Sidney P Smith | Dermatology | 900 Mohawk St, Savannah, GA 31419-1780 | 2005-11-04 |
| 1144228883 | Renewalasc, LLC | Clinic/Center | 900 Mohawk St, Suite A, Savannah, GA 31419 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215257241 | Low Country Dermatology LLC | Dermatology | 310 Eisenhower Dr Building 12 Suite A, Savannah, GA 31406-2632 | 2010-06-01 |
| 1083828024 | Rtr Medical Group LLC | Dermatology | 11700-3 Mercy Blvd, Savannah, GA 31419 | 2007-05-09 |
| 1003954181 | Philip Z. Mcnaughton | Dermatology | 7805 Waters Ave Ste 9a, Savannah, GA 31406-2445 | 2007-02-02 |
| 1669567590 | Claudia Nadine Gaughf | Dermatology | 639 Stephenson Ave., A, Savannah, GA 31405-5970 | 2006-10-04 |
| 1952392409 | Corinne Meek Howington | Dermatology | 310 Eisenhower Dr Ste 12a, Savannah, GA 31406-2632 | 2005-11-03 |
| 1407272511 | Chatham Dermatology LLC | Dermatology | 820 E 67th St, Savannah, GA 31405-4611 | 2014-03-13 |
| 1336463876 | Campen Dermatology, LLC | Dermatology | 5102 Paulsen St, Bldg. 4, Savannah, GA 31405-4601 | 2010-03-25 |
| 1962658963 | Jodi-ann Camille Moore | Dermatology | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2008-08-11 |
| 1831382811 | Richard Lee Parker IIi | Dermatology | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2007-08-22 |
| 1730393455 | Coastal Dermatology | Dermatology | 400 Commercial Ct, Savannah, GA 31406-3648 | 2007-05-10 |
| Find all providers in SAVANNAH | ||||
Please comment or provide details below to improve the information on SIDNEY P SMITH MD PC.
| 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.