TIMOTHY SMITH (NPI# 1528509635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528509635 |
| Entity Type | Individual |
| Full Name | TIMOTHY SMITH |
| Credential | C.O. |
| Practice Address |
5510 Veterans Pkwy Columbus GA 31904-4491 |
| Practice Telephone | 7063233461 |
| Practice Fax Number | 7063243414 |
| Mailing Telephone | 7063233461 |
| Mailing Fax Number | 7063243414 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 4025 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170698 | Timothy David Smith | Student in an Organized Health Care Education/Training Program | 433 S 7th St Apt 1822, Minneapolis, MN 55415-1641 | 2019-12-04 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| 1114389442 | Timothy James Smith | Physical Therapist | 1741 Trent St, Crofton, MD 21114-2301 | 2016-03-25 |
| 1235492190 | Timothy W Smith | Dentist | 655 Al Highway 69 S, Hanceville, AL 35077-3405 | 2012-06-15 |
| 1871897090 | Timothy Floyd Smith | Mechanotherapist | 7621 Ne Waldo Rd, Gainesville, FL 32609-1267 | 2011-01-03 |
| 1760702088 | Timothy Alan Smith | Chiropractor | 6839 Five Star Blvd Ste F, Rocklin, CA 95677-2685 | 2010-06-09 |
| 1699933424 | Timothy Alan Smith | Denturist | 38565 Proctor Blvd, Sandy, OR 97055-0744 | 2008-05-29 |
| 1477676336 | Timothy J Smith | Family Medicine | 5281 Thomas Rd, Sebastopol, CA 95472-9374 | 2007-04-07 |
| 1811038243 | Timothy Blair Smith | Dentist | 310 Se 2nd, Suite 203, Pendleton, OR 97801 | 2007-02-09 |
| 1467592501 | Timothy B. Smith | Hearing Instrument Specialist | 217 Page Bacon Rd, #1, Mary Esther, FL 32569-1685 | 2007-02-07 |
| Street Address |
5510 VETERANS PKWY |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700838950 | Heath Harvey's Inc | Durable Medical Equipment & Medical Supplies | 5510 Veterans Pkwy, Columbus, GA 31904-4428 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798560 | Plunketts Pest Control-varment Guard | Prevention Professional | 1001 Checkrein Ave, Columbus, OH 43229-1106 | 2020-10-23 |
| 1679031272 | My Pharmacare | Prevention Professional | 3907 Macon Rd Ste C, Columbus, GA 31907-2292 | 2019-03-04 |
| 1821523416 | Short North Peak Performance & Physical Therapy | Prevention Professional | 1054 Hamlet St, Columbus, OH 43201-3588 | 2017-04-21 |
| 1639614563 | Faye Colom | Prevention Professional | 362 Park Creek Dr, Columbus, MS 39705-1326 | 2017-01-02 |
| 1508497421 | Sarah Ann Macy | Prevention Professional | 1490 E Main St, Columbus, OH 43205-2140 | 2020-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679009054 | Michael Dean Ciepiela | Prevention Professional | 12897 Gransley Ct, Alpharetta, GA 30009-3102 | 2017-05-04 |
| 1134741697 | Attest Wellness, LLC | Prevention Professional | 1201 W Peachtree St Nw Ste 2300, Atlanta, GA 30309-3453 | 2020-05-07 |
| 1760940571 | Tlk Photography,llc | Prevention Professional | 303 Perimeter Ctr N Ste 300, Atlanta, GA 30346-3401 | 2019-03-11 |
| 1730608522 | Populations and Interventions Team Company | Prevention Professional | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-13 |
| 1548796063 | Aaron Herndon | Prevention Professional | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2017-05-03 |
| 1144755489 | Verinese Garnier | Prevention Professional | 619 Hampton St, Hinesville, GA 31313-3535 | 2017-04-24 |
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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.