JASON L SMITH


Address: 103 John Maddox Dr Nw, Rome, GA 30165-1419
Phone: 7062357711

JASON L SMITH (NPI# 1578586400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578586400
Entity Type Individual
Full Name JASON L SMITH
Credential M D
Practice Address 103 John Maddox Dr Nw
Rome
GA 30165-1419
Practice Telephone 7062357711
Practice Fax Number 7062359944
Mailing Telephone 7062357711
Mailing Fax Number 7062359944
Enumeration Date 2006-07-25
Last Update Date 2010-02-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207NS0135X Dermatology
Specialization: Procedural Dermatology
032302 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000398384B 05

Other Providers JASON SMITH

NPI Name Taxonomy Address Enumeration
1447874250 Jason Joseph Smith Nurse Practitioner 60 Meadowlark Dr, Penfield, NY 14526-2036 2020-06-08
1790309565 Jason C Smith Military Health Care Provider 113 Barrington Ct, Maple Hill, NC 28454-8659 2020-06-08
1033695564 Jason Smith Nurse Practitioner 413 Sanner St, Edwardsville, IL 62025-1080 2018-07-18
1619335429 Jason Smith Social Worker 1025 Se 23rd St, Okeechobee, FL 34974-5362 2016-02-08
1013374289 Jason Smith Physical Therapy Assistant 960 S Logan St Apt 101, Denver, CO 80209-4148 2016-01-19
1902273394 Jason Richard Smith Physical Therapist 300 E College Way Ste B, Mount Vernon, WA 98273-5429 2015-09-01
1083006670 Jason T. Smith Physician Assistant 4419 Bearberry Ave, Baytown, TX 77521-1677 2015-02-19
1790183010 Jason Smith Technician 19 Oracle Ct, Sacramento, CA 95823-4086 2014-12-18
1982016648 Jason Smith Student in an Organized Health Care Education/Training Program 8809 Furlong Dr Apt 3, Louisville, KY 40242-7510 2014-05-28
1780016485 Jason Smith Case Manager/Care Coordinator 1250 Kirts Blvd Ste 300, Troy, MI 48084-4855 2013-08-05

Office Location

Street Address 103 JOHN MADDOX DR NW
City ROME
State GA
Zip Code 30165-1419

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265812879 Tricia Nicole Collins Nurse Practitioner 103 John Maddox Dr Nw, Rome, GA 30165-1419 2015-06-09
1144642844 Dora Mciver Broom Physician Assistant 103 John Maddox Dr Nw, Rome, GA 30165-1419 2014-01-14
1912180670 Christin T Swift Physician Assistant 103 John Maddox Dr Nw, Rome, GA 30165-1419 2007-12-17
1467641381 Northwest Georgia Dermatology & Skin Surgery Center PC Dermatology 103 John Maddox Dr Nw, Rome, GA 30165-1419 2007-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346868775 Heather Bowman Physical Therapist 600 Eagle, E Lake Dr, Rome, GA 30165 2020-07-13
1205451101 Kristopher Nelson Student in an Organized Health Care Education/Training Program 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 2020-06-16
1962061457 Stuart Paul Shaklee Occupational Therapy Assistant 1356 Redmond Road, Rome, GA 30165 2019-06-10
1386001055 Autumn Streetman Counselor 6 Mathis Drive, Rome, GA 30165 2016-01-26
1144695784 Gabrador Milligan Counselor 6 Mathis Road, Rome, GA 30165 2015-12-08
1386041952 Theresa Suits Registered Nurse 1 Woodbine Avenue, Rome, GA 30165 2014-11-26
1942561147 Nicole C. Christian Clinical Neuropsychologist 305 Redmond Rd, Rome, GA 30165 2012-06-04
1679832711 Niki Pareshkumar Bhavsar Internal Medicine 3041 Turner Mccall Blvd, Rome, GA 30165 2012-05-10
1285927491 Amanda Fischer Reeves Family Medicine 304 Shorter Ave Nw Ste 102, Rome, GA 30165 2011-05-20
1033436647 Northland Hearing Centers, Inc. Hearing Instrument Specialist 4 Coosawattee Ave, Rome, GA 30165 2010-04-23
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Taxonomy Information

Taxonomy Code 207NS0135X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Procedural Dermatology

Taxonomy Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467641381 Northwest Georgia Dermatology & Skin Surgery Center PC Dermatology 103 John Maddox Dr Nw, Rome, GA 30165-1419 2007-10-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326237520 Larry H Pierce Md PC Dermatology 1267 Interstate Pkwy, Augusta, GA 30909-6481 2007-10-24
1891824108 Tanda Nichole Lane Dermatology 1210 Brookstone Centre Pkwy, Columbus, GA 31904-2954 2007-03-04
1801959101 South Fulton Dermatology Associates,llp Dermatology 2719 Felton Dr, East Point, GA 30344-3603 2006-12-18
1295818672 Robert Mcclure IIi Dermatology 5024 Lawrenceville Hwy Nw, Lilburn, GA 30047-4914 2006-10-23
1952495558 Larry H. Pierce Dermatology 1267 Interstate Pkwy., Augusta, GA 30909 2006-10-03
1023082005 Abdul Hafeez Dermatology 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 2006-02-15
1205138757 Amanda Eileen Harpring Dermatology 3379 Peachtree Rd Ne, Suite 500, Atlanta, GA 30326-1031 2010-12-02
1538396577 Center for Dermatology, LLC Dermatology 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 2009-06-17
1114100377 Cole Dermatology & Aesthetic Center, P.C. Dermatology 3655 Howell Ferry Rd, Ste 400, Duluth, GA 30096-3186 2007-12-11
1780872556 Atlanta Skin and Aesthetics Dermatology 5671 Peachtree Dunwoody Rd Ste 660, Atlanta, GA 30342-5006 2007-10-05
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Competitor

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City ROME
Zip Code 30165

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Dataset Information

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.

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