WILEY ALLEN SMITH (NPI# 1649310236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649310236 |
| Entity Type | Individual |
| Full Name | WILEY ALLEN SMITH |
| Credential | M.D. |
| Practice Address |
218 N Fredrick St Dalton GA 30721-3242 |
| Mailing Address |
165 Blue Ridge Overlook Blue Ridge GA 30513-4431 |
| Practice Telephone | 7065293643 |
| Practice Fax Number | 7065293666 |
| Mailing Telephone | 7069465600 |
| Mailing Fax Number | 7063747628 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 063133 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202I081000 | 01 |
| GA | 003126037A | 05 | |
| MEDICARE GROUP PTAN | GRP 1855 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245888676 | Wiley Livingston Smith | Music Therapist | 813 Rivers St, Boone, NC 28608-0001 | 2019-08-28 |
| 1184681769 | Wiley Joseph Smith | Dermatology | 50 Sewall St, Portland, ME 04102-2645 | 2006-04-27 |
| Street Address |
218 N FREDRICK ST |
| City | DALTON |
| State | GA |
| Zip Code | 30721-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104848498 | Deloris Ann Hefner | Registered Nurse | 218 N Fredrick St, Dalton, GA 30721-3242 | 2006-07-24 |
| 1225399041 | Georgia Mountains Health Services, Inc. | Clinic/Center | 218 N Fredrick St, Dalton, GA 30721-3242 | 2012-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619055886 | Steven D Murray | Family Medicine | 129 Wenger Rd N, Dalton, OH 44618-9056 | 2006-11-02 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1598794166 | Primecare Center, LLC | Family Medicine | 102 N Oaks Dr, Dalton, GA 30721-8392 | 2006-07-03 |
| 1023056686 | Griggs Family Healthcare, LLC | Family Medicine | 1301 Broadrick Dr, Dalton, GA 30720-3008 | 2006-06-03 |
| 1073563250 | Lisa Irene Griggs | Family Medicine | 902 Clark St, Dalton, GA 30720-8721 | 2006-05-11 |
| 1033195557 | David H. Drucker | Family Medicine | 1308 Memorial Dr, Suite 2, Dalton, GA 30720-2577 | 2005-12-16 |
| 1962484055 | Timothy J Snodgrass | Family Medicine | 1012 Burleyson Rd, Dalton, GA 30720-8340 | 2005-11-15 |
| 1174511562 | William L Mcdaniel Jr. | Family Medicine | 1243 Broadrick Dr, Dalton, GA 30720-2800 | 2005-10-10 |
| 1134117609 | Douglas Bradley Delay | Family Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
| Find all providers in DALTON | ||||
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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.