TANDY M SMITH (NPI# 1457632721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457632721 |
| Entity Type | Individual |
| Full Name | TANDY M SMITH |
| Credential | MSN, APRN, FNP-BC |
| Practice Address |
330 Peachtree St Jesup GA 31545-0244 |
| Mailing Address |
Po Box 937 Jesup GA 31598-0937 |
| Practice Telephone | 9124276964 |
| Practice Fax Number | 9124270591 |
| Mailing Telephone | 9124276964 |
| Mailing Fax Number | 9124270591 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN085868 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
330 PEACHTREE ST |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606800 | Kevin O. Keown | Family Medicine | 330 Peachtree St, Jesup, GA 31545-0244 | 2005-08-18 |
| 1407365265 | Jennifer Holly Jones | Nurse Practitioner | 330 Peachtree St, Jesup, GA 31545-0246 | 2017-09-25 |
| 1851730626 | Wayne Sjc Medical Group, LLC | Orthopaedic Surgery | 330 Peachtree St, Suite 2, Jesup, GA 31545-0244 | 2013-06-14 |
| 1013026244 | Douglas P Hein | Orthopaedic Surgery | 330 Peachtree St, Suite 2, Jesup, GA 31545-0244 | 2006-08-30 |
| 1114962487 | Wayne Family Practice Associates, P.C. | Family Medicine | 330 Peachtree St, Jesup, GA 31545-0244 | 2006-06-19 |
| 1831181403 | Robert L. Phillips | Family Medicine | 330 Peachtree St, Jesup, GA 31545-0244 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194272229 | Terese Truax | Nurse Practitioner | 244 Peachtree St Ste A, Jesup, GA 31545-0212 | 2016-09-07 |
| 1740425479 | Mandy D. Brinson Hubbard | Nurse Practitioner | 391 Peachtree Street, Jesup, GA 31545 | 2008-12-09 |
| 1205457264 | Beth A Lewis | Nurse Practitioner | 865 S 1st St, Jesup, GA 31545-0210 | 2020-04-30 |
| 1063043651 | Halei Alise Kirkland | Nurse Practitioner | 391 S 1st St, Jesup, GA 31545-1132 | 2020-02-01 |
| 1811555261 | Rebecca Williams Morosky | Nurse Practitioner | 124 Memorial Dr, Jesup, GA 31545-0101 | 2019-05-31 |
| 1841857869 | Dawn Marie Kleve | Nurse Practitioner | 1094 220th St, Jesup, IA 50648-9400 | 2019-05-24 |
| 1043873987 | Leslie Brook Tzen | Nurse Practitioner | 141 S Macon St, Jesup, GA 31545-1114 | 2019-04-16 |
| 1295237881 | Maggie Poppell Hayes | Nurse Practitioner | 114 W Cherry St, Jesup, GA 31545 | 2018-02-28 |
| 1083126056 | Kalli Mercedes Barber | Nurse Practitioner | 371 Peachtree St, Jesup, GA 31545-0245 | 2017-10-31 |
| 1407365265 | Jennifer Holly Jones | Nurse Practitioner | 330 Peachtree St, Jesup, GA 31545-0246 | 2017-09-25 |
| Find all providers in JESUP | ||||
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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.