STEPHEN DEREK SMITH (NPI# 1639182553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639182553 |
| Entity Type | Individual |
| Full Name | STEPHEN DEREK SMITH |
| Credential | CRNA |
| Practice Address |
80 Newnan Station Drive, Suite A Newnan GA 30265 |
| Mailing Address |
Po Box 73709 Newnan GA 30271-3709 |
| Practice Telephone | 7702512060 |
| Practice Fax Number | 6788549235 |
| Mailing Telephone | 7702512060 |
| Mailing Fax Number | 6788549235 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2015-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN076030 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | U.S. DEPT. OF LABOR | 156961100 | 01 |
| GA | UNITED HEALTHCARE | 20-02624 | 01 |
| GA | UNIVERSAL HEALTHCARE | 9975585 | 01 |
| GA | RAIL ROAD MEDICARE | P00296749 | 01 |
| GA | BLUE CROSS BLUE SHIELD | 52267829-002 | 01 |
| GA | 000550338G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1346807583 | Stephen Lee Smith | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7776, San Antonio, TX 78229-3901 | 2019-05-23 |
| 1295295509 | Stephen Douglas Smith | Counselor | 2591 Parkcrest Way, Roseville, CA 95747-7140 | 2019-03-22 |
| 1275025041 | Stephen C Smith | Student in an Organized Health Care Education/Training Program | 220 Rowan Blvd Apt 630, Glassboro, NJ 08028-2275 | 2018-06-06 |
| 1437653706 | Stephen Michael Smith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2018-03-21 |
| 1659809028 | Stephen Jerome Smith | Emergency Medical Technician, Basic | 1826 W Mcdowell Rd, Phoenix, AZ 85007-1612 | 2017-05-30 |
| 1386019867 | Stephen William Smith | Psychologist | 2312 Plantation Dr, Virginia Beach, VA 23454-2739 | 2015-12-09 |
| 1548666068 | Stephen Smith | Massage Therapist | 626 E 4th St, Tonganoxie, KS 66086-9219 | 2014-11-11 |
| 1588067706 | Stephen Patrick Smith | Optometrist | 4005 Woodland Creek Dr Se, Apt. 102, Kentwood, MI 49512-8313 | 2014-10-01 |
| 1942600044 | Stephen Smith | Student in an Organized Health Care Education/Training Program | 6504 Walnut Park Dr, Philadelphia, PA 19120-1032 | 2014-08-26 |
| Street Address |
80 NEWNAN STATION DRIVE, SUITE A |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044090 | James Mickey Wells | Registered Nurse | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2005-06-27 |
| 1629457627 | Amanda Brittany Fowler | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2015-05-22 |
| 1598152258 | Logan Mathew Haynie | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2015-04-21 |
| 1881932788 | Kyle Mark O'bryan | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2013-01-28 |
| 1710242326 | Alfred Wilford Johnson | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2012-07-10 |
| 1407133614 | Brittany L Schmitt | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2011-11-16 |
| 1376823039 | Daniel Brent Gay | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2011-08-25 |
| 1851698518 | Maegan T Brass | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2011-02-16 |
| 1760789523 | Danielle Jo Moore | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2011-02-14 |
| 1487951232 | Kerri K Broich | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2011-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538409792 | Kadee N Whittington | Nurse Anesthetist, Certified Registered | 2050 Newnan Crossing Blvd E, Apartment 8007, Newnan, GA 30265-2354 | 2013-02-26 |
| 1942336581 | Conelia Stacie Munn | Nurse Anesthetist, Certified Registered | 2326 Highway 34 E Ste 100, Newnan, GA 30265-1328 | 2007-02-26 |
| 1083667042 | Paul L Duso | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive Suite A, Newnan, GA 30265 | 2006-05-18 |
| 1235111428 | Bennie Joe Mullins Jr. | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Suite 1100, Newnan, GA 30265-5631 | 2005-11-15 |
| 1043826985 | Taylor Michelle Courtner | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 | 2020-09-16 |
| 1518572874 | Kaitlyn Mariel Ogden | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2020-09-14 |
| 1336753805 | Lindsay Marie Dixon | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2020-09-02 |
| 1043823867 | Shawn Biddle | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 | 2020-08-31 |
| 1114535242 | Jennifer Lynn Mccuen | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 | 2020-07-15 |
| 1184276388 | Milagros Janusz | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 | 2019-07-09 |
| Find all providers in NEWNAN | ||||
Please comment or provide details below to improve the information on STEPHEN DEREK SMITH.
| 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.