MR. MASON WILLIAMS SMITH (NPI# 1588662506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588662506 |
| Entity Type | Individual |
| Full Name | MR. MASON WILLIAMS SMITH |
| Credential | P.A. |
| Practice Address |
114 S Jefferson St Swainsboro GA 30401-3146 |
| Mailing Address |
302 Barfield Dr Dublin GA 31021-0410 |
| Practice Telephone | 4782377517 |
| Practice Fax Number | 4782374299 |
| Mailing Telephone | 4782727177 |
| Mailing Fax Number | 4782374299 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2012-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH011423 | GA | Pharmacy Service Providers |
| Y | 363A00000X | Physician Assistant | 000305 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100001353A | 05 | |
| GA | AMERIGROUP | 10047407 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829409 | Mason Smith | Social Worker | 42244 Landing View Rd, Ponchatoula, LA 70454-4233 | 2020-10-19 |
| 1376107896 | Mason Smith | Case Manager/Care Coordinator | 2506 Falcon Ln, Mcalester, OK 74501-7324 | 2019-04-30 |
| 1578938288 | Mason James Smith | Occupational Therapy Assistant | 15139 Cr 2620, Binger, OK 73009-0041 | 2015-12-07 |
| 1740605013 | Mason Smith | Specialist/Technologist | 1928 E Hickory Point Cir, Sandy, UT 84092-3942 | 2014-02-24 |
| 1811507627 | Mason Smith | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2020-08-06 |
| 1689209801 | Mason Grandville Smith | Community Health Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-03-09 |
| 1770890519 | Mason Ross Smith | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2010-08-31 |
| Street Address |
114 S JEFFERSON ST |
| City | SWAINSBORO |
| State | GA |
| Zip Code | 30401-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637728 | Smith Rural Health Clinic | Clinic/Center | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2005-05-29 |
| 1437676277 | Jeniece L Cromartie | Nurse Practitioner | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2017-08-23 |
| 1932531258 | Emanuel County Hospital Authority | Clinic/Center | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2013-08-09 |
| 1023012580 | Henry Wilder Smith, Jr | Physician Assistant | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114589595 | Mandi Marion Wright | Nurse Practitioner | 117 Kight Road, Swainsboro, GA 30401 | 2019-07-05 |
| 1043767544 | Kathy Flakes | Licensed Practical Nurse | 223 N Anderson Drive, Swainsboro, GA 30401 | 2016-09-01 |
| 1023326220 | Family Podiatry Center PC | Podiatrist | 125a Victory Dr, Swainsboro, GA 30401 | 2010-09-22 |
| 1548578123 | United Rehab Inc | Clinic/Center | 856 U S Highway 1 South, Swainsboro, GA 30401 | 2010-09-17 |
| 1386967305 | William Donald Wages Jr. | Physical Therapy Assistant | 114 Victory Drive, Swainsboro, GA 30401 | 2010-03-04 |
| 1487989885 | Jimmy H Maddox | Nurse Practitioner | 117 Kite Road, Swainsboro, GA 30401 | 2009-10-02 |
| 1649319997 | Swainsboro Healthcare PC | Family Medicine | 305 Kite Road, Swainsboro, GA 30401 | 2007-02-05 |
| 1922153543 | Joyce Dianne Spence | Registered Nurse | 223 Anderson Dr N, Swainsboro, GA 30401 | 2007-01-24 |
| 1942355565 | Lucille Sapp | Registered Nurse | 223 N. Anderson Drive, Swainsboro, GA 30401 | 2007-01-24 |
| 1366592388 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 1007 Highway 56 South, Swainsboro, GA 30401 | 2007-01-11 |
| Find all providers in zip 30401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043764731 | Phillip Boatright Jr. | Physician Assistant | 120a Victory Dr, Swainsboro, GA 30401-3235 | 2016-08-10 |
| 1144671769 | Jodi Brannen | Physician Assistant | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2016-06-24 |
| 1225347016 | Emanuel Emergency Group LLC | Physician Assistant | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295657 | Hygeia Health Inc | Physician Assistant | 3983 Lavista Rd Ste 195, Tucker, GA 30084-5154 | 2020-11-06 |
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1306453980 | Samantha Rose Ashmead | Physician Assistant | 2163 Mulberry St, East Point, GA 30344-1112 | 2020-09-28 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1053928721 | Lynn Xinhui Guan | Physician Assistant | 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 | 2020-09-28 |
| 1285240010 | Kimberly Nicole Edwards Mclean | Physician Assistant | 516 Rocky Ridge Dr, Martinez, GA 30907-4988 | 2020-09-17 |
| 1588270391 | Buzzy Oguike | Physician Assistant | 4058 Akins Ridge Ct, Powder Springs, GA 30127-3272 | 2020-09-17 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1912511882 | Min Yang | Physician Assistant | 1076 Rolling Forest Ct, Lilburn, GA 30047-8931 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | SWAINSBORO |
| Zip Code | 30401 |
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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.