DR. JERRY HOWARD SMITH JR. (NPI# 1578651261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578651261 |
| Entity Type | Individual |
| Full Name | DR. JERRY HOWARD SMITH JR. |
| Credential | MAC, LPC, LCAS, CCS |
| Practice Address |
818 S Main St Bladenboro NC 28320-5970 |
| Mailing Address |
315 Dove Field Ct Se Leland NC 28451-9619 |
| Practice Telephone | 9108634000 |
| Mailing Telephone | 9108809810 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5146 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6103024 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965719 | Jerry Tyrone Smith | Counselor | 6818 Pasadena Rd, Cheyenne, WY 82009-2812 | 2020-06-02 |
| 1578099131 | Jerry Smith | Occupational Therapy Assistant | 2125 N Sherri Lin Ct Apt G, Appleton, WI 54914-1873 | 2017-05-02 |
| 1629501820 | Jerry Smith Jr. | Counselor | 2928 E Magnolia Ave, Knoxville, TN 37914-4515 | 2017-04-05 |
| 1538572730 | Jerry Smith | Assisted Living Facility | 50 Tanglewood Dr, Dawsonville, GA 30534-8140 | 2014-06-04 |
| 1265781645 | Jerry Don Smith Jr. | Psychologist | 208 S Twin City Hwy Ste B, Nederland, TX 77627-4201 | 2012-08-31 |
| 1326341090 | Jerry Dee Smith | Dermatology | 310 Sw County Road 1000, Corsicana, TX 75110-8600 | 2010-12-17 |
| 1053626895 | Jerry Calvin Smith | Pharmacist | 2422 Wade Hampton Blvd, Greenville, SC 29615-1146 | 2010-08-17 |
| 1770817595 | Jerry J. Smith | Pharmacist | Rr 2 Box 93, Stilwell, OK 74960 | 2009-09-25 |
| 1356545669 | Jerry Neil Smith | Speech-Language Pathologist | 210 W Lakeview Dr, Trenton, NC 28585-9589 | 2007-06-12 |
| 1679597850 | Jerry Richard Smith | Physical Therapist | Barbel Plz, #8 New Quarter, St Thomas, VI 00802-4600 | 2006-07-27 |
| Street Address |
818 S MAIN ST |
| City | BLADENBORO |
| State | NC |
| Zip Code | 28320-5970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083273 | Audrey Wilson | Counselor | 818 S Main St, Bladenboro, NC 28320-5970 | 2017-10-09 |
| 1114440807 | Victoria Mans | Counselor | 818 S Main St, Bladenboro, NC 28320-5970 | 2017-07-25 |
| 1093032310 | Coastal Southeastern United Care LLC | Community/Behavioral Health | 818 S Main St, Suite 100-104, Bladenboro, NC 28320 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295399343 | Total Renal Care of North Carolina, LLC | Clinic/Center | 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 | 2019-04-24 |
| 1558721217 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 106 4th St, Bladenboro, NC 28320 | 2016-02-24 |
| 1174877153 | Iesha Shonta Bell | Social Worker | 803 South Main Street, Bladenboro, NC 28320 | 2012-10-30 |
| 1609149053 | Turner's Family Care Home | Assisted Living Facility | 208 Whiteville Road, Bladenboro, NC 28320 | 2012-02-15 |
| 1265738157 | West Bladen Assisted Living, LLC | Custodial Care Facility | 714 Bladen Street, Bladenboro, NC 28320 | 2011-02-10 |
| 1316105042 | Gate Way Health Care Associates LLC | Case Management | 201 Martin Luther King Dr, Bladenboro, NC 28320 | 2008-05-29 |
| 1255506861 | Christopher Clark Dds Pa | Dentist | 104 Fourth St, Bladenboro, NC 28320 | 2008-04-24 |
| 1164609756 | Donald Benton Helms | Eyewear Supplier (Equipment, not the service) | 102 Fourth Street, Bladenboro, NC 28320 | 2008-01-25 |
| 1366624371 | Glencare of Bladenboro | Assisted Living Facility | 714 East Bladen Street, Bladenboro, NC 28320 | 2007-11-30 |
| 1801005467 | Xuan Kim Tran | Dentist | 104 4th Street, Bladenboro, NC 28320 | 2007-05-21 |
| Find all providers in zip 28320 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944213 | Anita Gibson | Counselor | 327 Seaboard, Bladenboro, NC 28320-1376 | 2015-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1770190324 | Brittany B Greer | Counselor | 2002 Eastwood Rd Ste 305, Wilmington, NC 28403-7202 | 2020-09-28 |
| 1497361505 | Kisha Monique Lendore | Counselor | 2133 Rowland Pond Dr, Willow Spring, NC 27592-7575 | 2020-09-23 |
| 1538774872 | Jamila Milnes Cainey | Counselor | 12026 Snapping Turtle Ln, Huntersville, NC 28078-2341 | 2020-09-14 |
| 1861007759 | James Carroll Pittman IIi | Counselor | 2301 Stonehenge Dr Ste 110, Raleigh, NC 27615-4379 | 2020-09-09 |
| 1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1043820715 | Keep Counsel | Counselor | 8320 Hardeth Way, Raleigh, NC 27616-3237 | 2020-08-06 |
| 1427667351 | Anna-marie H Inman | Counselor | 2557 James B White Hwy N, Whiteville, NC 28472-8975 | 2020-07-27 |
| 1730797200 | Shannon Gail Sauls | Counselor | 501 America Dr, Selma, NC 27576-6143 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | BLADENBORO |
| Zip Code | 28320 |
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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.