DR. RANDOLPH RELIHAN SMITH (NPI# 1518949973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518949973 |
Entity Type | Individual |
Full Name | DR. RANDOLPH RELIHAN SMITH |
Credential | M.D. |
Practice Address |
1348 Walton Way Suite 6300 Augusta GA 30901-5104 |
Practice Telephone | 7067245611 |
Practice Fax Number | 7067245435 |
Mailing Telephone | 7067245611 |
Mailing Fax Number | 7067245435 |
Enumeration Date | 2005-11-18 |
Last Update Date | 2012-08-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
7622 | SC | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
013533 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000068175B | 05 | |
SC | 906942 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891195905 | Randolph Smith | Community Health Worker | 7651 Charlton Cir, Northfield, OH 44067-2472 | 2014-08-26 |
1487176657 | Randolph Wes Smith | Speech-Language Pathologist | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2017-07-10 |
1063589216 | Randolph Edward Smith | Pathology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-11-30 |
1710970132 | Randolph Todd Smith | Ophthalmology | 3300 W Anderson Ln, #308, Austin, TX 78757-1023 | 2005-08-31 |
Street Address |
1348 WALTON WAY SUITE 6300 |
City | AUGUSTA |
State | GA |
Zip Code | 30901-5104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417949066 | Janet Elaine Davis | Obstetrics & Gynecology | 1348 Walton Way, Suite 4300, Augusta, GA 30901-5104 | 2005-08-19 |
1144760919 | Nuriye Sarpkaya | Nurse Practitioner | 1348 Walton Way, Suite 5100, Augusta, GA 30901-5104 | 2017-02-27 |
1255701389 | Lauren Elizabeth Wilson | Physician Assistant | 1348 Walton Way, Suite 5100, Augusta, GA 30901-5104 | 2015-10-01 |
1144565920 | Emily B Hutchins | Physician Assistant | 1348 Walton Way, Suite 4500, Augusta, GA 30901-5104 | 2012-12-04 |
1811138506 | Janet E. Davis, M.d., P.C. | Obstetrics & Gynecology | 1348 Walton Way, Suite 4300, Augusta, GA 30901-5104 | 2009-03-10 |
1992946644 | Debra J. Ware, Md, PC | Obstetrics & Gynecology | 1348 Walton Way, Suite 5500, Augusta, GA 30901-5104 | 2009-03-10 |
1275778805 | Mitchell Clark Palmer | Physician Assistant | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5104 | 2008-12-11 |
1740457373 | Christopher Boyd Looney | Radiology | 1348 Walton Way, Ste. # 5700, Augusta, GA 30901-5104 | 2008-05-13 |
1629108329 | Augusta Gyn, Obstetrics & Gynecology 2 LLC | Obstetrics & Gynecology | 1348 Walton Way, Suite 4100, Augusta, GA 30901-5104 | 2007-03-06 |
1063576288 | Charles Gettys Mcclure | Psychiatry & Neurology | 1348 Walton Way, Suite 4500, Augusta, GA 30901-5104 | 2006-12-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
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Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790929388 | James Bartow Collins | Surgery | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2009-04-27 |
1942458740 | Kenna S Given, Md, PC | Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2008-09-04 |
1114147931 | Piotr Pawel Skowronski | Surgery | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2007-04-26 |
1093820375 | Anthony Perrone | Surgery | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2006-08-20 |
1992721930 | Gary Benton Williamson | Surgery | 2258 Wrightsboro Rd, Suite 180, Augusta, GA 30904 | 2006-07-14 |
1841267549 | Hermann K Orlet | Surgery | 3675 J Dewey Gray Circle, Suite 300, Augusta, GA 30909-1868 | 2006-03-02 |
1356323802 | Christopher James Ewart | Surgery | 1348 Walton Way, Suite 6300, Augusta, GA 30901-5104 | 2005-11-18 |
1518958362 | George Stephenson Drew | Surgery | 820 Saint Sebastian Way, Suite 1a, Augusta, GA 30901-2643 | 2005-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427668342 | Spa Medical LLC | Surgery | 455 Plum St, Macon, GA 31201-3368 | 2020-08-05 |
1356972848 | North Atlanta Plastic Surgery Group LLC | Surgery | 11877 Douglas Rd Ste 102-367, Johns Creek, GA 30005-4325 | 2020-02-03 |
1881100337 | Rpc Employee Services, LLC | Surgery | 975 Johnson Ferry Rd Ste 100, Atlanta, GA 30342-1618 | 2017-12-20 |
1093255044 | Southeastern Aesthetic and Reconstructive Surgery | Surgery | 155 Greenville St, Newnan, GA 30263-2630 | 2017-02-24 |
1700249042 | Justin Kyle Williams | Surgery | 3200 Downwood Cir Nw Ste 640-4, Atlanta, GA 30327-1610 | 2016-04-04 |
1871901009 | Southeastern Reconstructive Services LLC | Surgery | 5205 Frederick St Ste B, Savannah, GA 31405-4520 | 2014-07-31 |
1730479452 | Olumayowa Pitan Abiodun | Surgery | 2709 Meredyth Dr Ste 340, Albany, GA 31707 | 2011-04-14 |
1609175421 | Randal H. Rudderman Md Inc | Surgery | 3400-c Old Milton Pkwy, Ste 450, Alpharetta, GA 30005-3707 | 2011-03-18 |
1033374392 | James Bradford Depew | Surgery | 120 Vann St Ne Ste 150, Marietta, GA 30060 | 2008-07-25 |
1255591814 | Corey Patrick Harkins | Surgery | 120 Vann Street, Suite 150, Marietta, GA 30060 | 2008-06-16 |
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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.