MR. WILLIE L SMITH (NPI# 1811188584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811188584 |
| Entity Type | Individual |
| Full Name | MR. WILLIE L SMITH |
| Practice Address |
5391 Ridgemere Ct Stone Mountain GA 30083-6805 |
| Practice Telephone | 7707714845 |
| Mailing Telephone | 7707714845 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409295 | Willie Smith | Technician | 3686 Hayes St Ne Apt 101, Washington, DC 20019-7539 | 2019-07-20 |
| 1043745003 | Willie Smith | Case Manager/Care Coordinator | 775 South Bonnrt, Ruston, LA 71270 | 2017-04-27 |
| 1437286713 | Willie Darrell Smith | Optometrist | 1357 S Main St, Adrian, MI 49221-4352 | 2007-02-27 |
| 1255818985 | Willie J Smith | Social Worker | 20600 Chagrin Blvd Ste 320, Shaker Heights, OH 44122-5334 | 2018-07-25 |
| 1134641079 | Willie Lee Smith | Technician/Technologist | 1116 Summit Ave, Seattle, WA 98101-2831 | 2017-07-12 |
| 1902231830 | Willie W Smith IIi | Physician Assistant | 1521 Maplewood Ave, Ronceverte, WV 24970-8026 | 2013-09-11 |
| 1356672489 | Willie J Smith | Counselor | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2010-01-29 |
| 1417131293 | Willie A Smith | Case Management | 1330 West Imperial Highway, Los Angeles, CA 90044 | 2007-12-28 |
| 1679593388 | Willie Hilliard Smith Jr. | Internal Medicine | 550 Peachtree St Ne, Atlanta, GA 30308-2208 | 2006-07-19 |
| Street Address |
5391 RIDGEMERE CT |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-6805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295379055 | Tsg Mediquip, LLC | Durable Medical Equipment & Medical Supplies | 2075 W Park Place Blvd Ste C, Stone Mountain, GA 30087-3542 | 2019-11-04 |
| 1851863484 | Ellie Adore Hair Solutions LLC | Durable Medical Equipment & Medical Supplies | 5411 Memorial Dr # 6, Stone Mountain, GA 30083-3213 | 2018-12-20 |
| 1497134811 | Diaper Depot, Inc. | Durable Medical Equipment & Medical Supplies | 5231 Memorial Dr, B3, Stone Mountain, GA 30083-3153 | 2015-05-19 |
| 1740624261 | Forthright Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 1183 S Hairston Rd Ste B, Stone Mountain, GA 30088-2796 | 2013-04-26 |
| 1053755314 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5935 Memorial Dr, Stone Mountain, GA 30083-3429 | 2013-04-17 |
| 1992010177 | First Paths, Inc. | Durable Medical Equipment & Medical Supplies | 667 N Hairston Rd, Stone Mountain, GA 30083-3401 | 2010-08-12 |
| 1295966893 | Global Pharmacy & Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 4575 Stonegate Industrial Blvd, Suite F, Stone Mountain, GA 30083-1924 | 2009-07-30 |
| 1770725723 | Tender Touch Health Care Services | Durable Medical Equipment & Medical Supplies | 956 Dunstan Ln, Stone Mountain, GA 30083-2451 | 2009-04-06 |
| 1710124664 | First Choice Medical Equipment | Durable Medical Equipment & Medical Supplies | 2165 W Park Ct, Suite A, Stone Mountain, GA 30087-3550 | 2009-01-14 |
| 1124210745 | Rbr Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 739 Main St Ste 4, Stone Mountain, GA 30083-3088 | 2007-08-16 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on MR. WILLIE L 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.