THERESA A SMITH (NPI# 1497091847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497091847 |
| Entity Type | Individual |
| Full Name | THERESA A SMITH |
| Credential | BC-HIS |
| Practice Address |
102 Oak St Statesboro GA 30458-4852 |
| Mailing Address |
11900 Us Highway 280 Ellabell GA 31308-3603 |
| Practice Telephone | 9124891787 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HADS-000938 | GA | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | HAS-0500 | SC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE NUMBER | HADS-000938 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1533 Fording Island Rd Ste 318, Hilton Head, SC 299261122 | 8438362693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467980052 | Theresa P Smith | Technician | 2301 11th St Nw Apt 116, Washington, DC 20001-2245 | 2017-05-26 |
| 1942651518 | Theresa Smith | Pediatrics | 5580 Celestial Dr, Atwater, CA 95301-3119 | 2016-06-24 |
| 1346516697 | Theresa Smith | Occupational Therapist | 33 Buttonwood Pl, Hazlet, NJ 07730-2173 | 2012-03-30 |
| 1356672604 | Theresa Monahan Smith | Registered Nurse | 177 Carroll Ave, Brockton, MA 02301-6315 | 2010-01-27 |
| 1801916283 | Theresa Faye Smith | Social Worker | 14 North Cottonwood Street, Woodland, AL 95695 | 2007-03-30 |
| 1841321486 | Theresa J Smith | Social Worker | 1119 S Elliott Ave, Aurora, MO 65605-2405 | 2007-03-07 |
| 1326119538 | Theresa Smith | Occupational Therapist | 7675 Phoenix Dr Apt 1025, Houston, TX 77030-4718 | 2006-11-10 |
| 1659312973 | Theresa Flynn Smith | Social Worker | 517 Tomahawk Ave, Black Mountain, NC 28711-2861 | 2006-06-09 |
| 1063476000 | Theresa L. Smith | Chiropractor | 122 E Walnut Ave, Suite C, Monrovia, CA 91016-3449 | 2006-04-14 |
| 1598366304 | Theresa Smith | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2020-11-06 |
| Street Address |
102 OAK ST |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-4852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366917783 | Me Pivot Holdings LLC | Hearing Instrument Specialist | 102 Oak St, Statesboro, GA 30458-4852 | 2018-10-11 |
| 1609112911 | James Daniels | Hearing Instrument Specialist | 102 Oak St, Statesboro, GA 30458-4852 | 2012-12-14 |
| 1639485535 | Armin Inc | Hearing Aid Equipment | 102 Oak St, Statesboro, GA 30458-4852 | 2010-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629542048 | James Harrison | Hearing Instrument Specialist | 1829 Lakeview Rd, Statesboro, GA 30461-8093 | 2019-01-18 |
| 1366917783 | Me Pivot Holdings LLC | Hearing Instrument Specialist | 102 Oak St, Statesboro, GA 30458-4852 | 2018-10-11 |
| 1609112911 | James Daniels | Hearing Instrument Specialist | 102 Oak St, Statesboro, GA 30458-4852 | 2012-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041923 | Savannah Schneider | Hearing Instrument Specialist | 1255 Friendship Rd Ste 110, Braselton, GA 30517-5612 | 2020-10-23 |
| 1831701101 | Farrah Guest | Hearing Instrument Specialist | 7367 Spout Springs Rd Ste 105, Flowery Branch, GA 30542-5519 | 2020-08-18 |
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1336758531 | Morgan Renee Mcdermott | Hearing Instrument Specialist | 2424 Roswell Rd Ste 140, Marietta, GA 30062-4719 | 2020-07-24 |
| 1962010090 | Caleb D Barnes | Hearing Instrument Specialist | 401 Mall Blvd Ste 104, Savannah, GA 31406-4862 | 2020-07-15 |
| 1720696875 | Meagan S Groves | Hearing Instrument Specialist | 6783 Veterans Pkwy Bldg 4300, Columbus, GA 31909-3254 | 2020-07-15 |
| 1255954723 | Rashia Sherman | Hearing Instrument Specialist | 602 Eagles Landing Pkwy, Stockbridge, GA 30281-5096 | 2020-05-19 |
| 1740812981 | Me Pivot Holdings LLC | Hearing Instrument Specialist | 956a Dawsonville Hwy Ste 302, Gainesville, GA 30501-2619 | 2020-02-05 |
| 1467091900 | Kaitlynn Hufstetler | Hearing Instrument Specialist | 6600 Sugarloaf Pkwy Ste 800, Duluth, GA 30097-4346 | 2020-01-02 |
| 1871139683 | Kristen Pike | Hearing Instrument Specialist | 4 Coosawattee Ave Sw Ste A, Rome, GA 30165-3561 | 2019-11-27 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on THERESA A 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.