EDWARD J SMITH DC PC (NPI# 1801167325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801167325 |
| Entity Type | Organization |
| Organization Name | EDWARD J SMITH DC PC |
| Practice Address |
564 Charlie Smith Sr Hwy Saint Marys GA 31558-3000 |
| Mailing Address |
Po Box 5035 Saint Marys GA 31558-5035 |
| Practice Telephone | 9128827880 |
| Practice Fax Number | 9128827311 |
| Mailing Telephone | 9128827880 |
| Mailing Fax Number | 9128827311 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | DR. EDWARD J SMITH (DOCTOR) |
| Authorized Official Telephone | 9128827880 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
2860 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE | 35ZCBTF | 01 |
| Street Address |
564 CHARLIE SMITH SR HWY |
| City | SAINT MARYS |
| State | GA |
| Zip Code | 31558-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078287 | Ac Optimal Health | Clinic/Center | 564 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3000 | 2020-06-17 |
| 1083181853 | Anthony Cane | Chiropractor | 564 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3000 | 2018-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1922659192 | Christian Bianca Booker | Social Worker | 944 Kings Bay Rd. #247, St. Marys, GA 31558 | 2019-09-27 |
| 1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
| 1174038095 | Camden Behavioral Wellness, Inc | Counselor | 605 Osborne Street, Saint Mary's, GA 31558 | 2017-12-14 |
| 1285149427 | Urgent Care of Coastal Georgia | General Practice | 214 A Professional Circle, St. Marys, GA 31558 | 2017-12-11 |
| 1679975783 | Jeremy Cole | Behavioral Analyst | 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 | 2014-09-19 |
| 1053660738 | Janice Paulino Ramirez | Nurse Practitioner | 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 | 2012-09-10 |
| 1174899454 | Light Horse Healthcare Inc | Voluntary or Charitable | 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 | 2012-03-30 |
| 1316215775 | Annette O. Perry | Counselor | 4019 Hwy 40 East, St. Marys, GA 31558 | 2011-12-13 |
| 1932486271 | Sarah Jo Meyers | Speech-Language Pathologist | 2015 Osborne Rd, Unit A, St Marys, GA 31558 | 2011-11-15 |
| Find all providers in zip 31558 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467017491 | Grace Family Healthcare | Clinic/Center | 102 Lakeshore Dr Ste B, Saint Marys, GA 31558-3875 | 2019-05-06 |
| 1235632449 | Coastal Georgia Wellness Center & Family Medicine | Clinic/Center | 102 Lakeshore Dr Ste B, Saint Marys, GA 31558-3875 | 2018-03-14 |
| 1225583644 | Albert M Thompson Jr PC | Clinic/Center | 102 Lakeshore Dr Ste B, Saint Marys, GA 31558-3875 | 2016-08-16 |
| 1508310210 | Wecare - Twu Employee Family Clinic | Clinic/Center | 107 Industrial Dr, Suite B, Saint Marys, GA 31558-4435 | 2016-08-10 |
| 1821374364 | Anew Medical Services Group, LLC | Clinic/Center | 102 Lakeshore Dr, Suite C, Saint Marys, GA 31558-3874 | 2011-10-28 |
| 1629252366 | St Marys Family Practice, Pa | Clinic/Center | 515 W Bertrand Ave, Saint Marys, KS 66536-1618 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1528673514 | Safe Haven Medical Services | Clinic/Center | 444 Racetrack Rd, Mcdonough, GA 30252-6837 | 2020-09-15 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 31558 |
Please comment or provide details below to improve the information on EDWARD J SMITH DC PC.
| 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.