MRS. FAWN B SMITH (NPI# 1679950554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679950554 |
| Entity Type | Individual |
| Full Name | MRS. FAWN B SMITH |
| Credential | NP-C |
| Practice Address |
7120 Hodgson Memorial Dr Savannah GA 31406-2532 |
| Practice Telephone | 9123524490 |
| Practice Fax Number | 9123524845 |
| Mailing Telephone | 9123524490 |
| Mailing Fax Number | 9123524845 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN175547 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7120 HODGSON MEMORIAL DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934898 | Melissa Dove Wynn | Internal Medicine | 7120 Hodgson Memorial Dr, Savannah, GA 31406-2532 | 2005-06-28 |
| 1619203809 | Southern Surgical Providers, P.C. | Specialist | 7120 Hodgson Memorial Dr, Savannah, GA 31406-2532 | 2009-10-23 |
| 1790748432 | Robert Alexander Wynn | Surgery | 7120 Hodgson Memorial Dr, Savannah, GA 31406-2532 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1578115333 | Chantel Evette Plummer | Nurse Practitioner | 1810 E 62nd St, Savannah, GA 31404-5602 | 2019-07-11 |
| 1447685383 | Sunni L. Ogden | Nurse Practitioner | 3219 College St, Savannah, GA 31404-5254 | 2013-09-11 |
| 1447578018 | Tennessee River Pain Management Clinic | Nurse Practitioner | 275a Eureka St, Savannah, TN 38372-3033 | 2010-05-06 |
| 1487880761 | William Opoku Badu Agyemang | Nurse Practitioner | 851 Southbridge Blvd, Savannah, GA 31405-1096 | 2009-06-01 |
| 1437286135 | Rita Marie Greenbush | Nurse Practitioner | 11700 Mercy Blvd Ste 6, Savannah, GA 31419-1753 | 2007-02-28 |
| 1306951983 | Crystal Michelle Height | Nurse Practitioner | 702 W 47th St, Savannah, GA 31405-1772 | 2006-08-21 |
| 1942854625 | Mallory Duncan | Nurse Practitioner | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2019-07-30 |
| 1982256772 | Zachary Houston Jenkins | Nurse Practitioner | 329 Eisenhower Dr Ste D, Savannah, GA 31406-2695 | 2019-07-11 |
| 1013365550 | Margaret Fitch Mcclellan | Nurse Practitioner | 5353 Reynolds St Ste 107, Savannah, GA 31405-6089 | 2016-05-25 |
| Find all providers in SAVANNAH | ||||
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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.