DR. BRENTLEY SMITH (NPI# 1841633757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841633757 |
| Entity Type | Individual |
| Full Name | DR. BRENTLEY SMITH |
| Other Name | DR. BRENT SMITH |
| Credential | M.D. |
| Practice Address |
699 Church St Ne Ste 235 Marietta GA 30060-1132 |
| Practice Telephone | 7707926262 |
| Mailing Telephone | 7707926262 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
86188 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 19th St S, Birmingham, AL 352331900 | 2059345631 |
| Street Address |
699 CHURCH ST NE STE 235 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326152695 | Michelle R. Jenkins | Nurse Practitioner | 699 Church St Ne Ste 235, Marietta, GA 30060-1132 | 2006-08-17 |
| 1659575256 | Amy R Carroll | Obstetrics & Gynecology | 699 Church St Ne Ste 235, Marietta, GA 30060-1132 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174880223 | Ernest Washington Franklin IIi | Obstetrics & Gynecology | 1 Bookhaven Dr., Suite 400, Atlanta, GA 30319-3059 | 2012-04-13 |
| 1740579390 | Marian Symmes Johnson | Obstetrics & Gynecology | 682 Hemlock St Ste 210, Macon, GA 31201 | 2011-04-05 |
| 1912118324 | Namita Khanna | Obstetrics & Gynecology | 1365 A Clifton Rd, Building Aa, 4'th Floor, Atlanta, GA 30332-2200 | 2007-05-25 |
| 1417060112 | Ainsworth Gatewood Dudley | Obstetrics & Gynecology | 401 S Lee St, Americus, GA 31709-3917 | 2006-08-16 |
| 1265465140 | Evelyn A Reynolds | Obstetrics & Gynecology | 2500 Hospital Blvd Ste 410, Roswell, GA 30076 | 2006-07-07 |
| 1245260884 | Ira Robert Horowitz | Obstetrics & Gynecology | Department of Gynecology and Obstetrics, 1365 Clifton Road, N.e., Atlanta, GA 30322-0001 | 2006-07-03 |
| 1780650283 | Matthew O Burrell | Obstetrics & Gynecology | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2006-02-24 |
| 1598750945 | William Edward Richards | Obstetrics & Gynecology | 5353 Reynolds St Ste 200, Savannah, GA 31405-6087 | 2005-09-13 |
| 1932191582 | Alan N Gordon | Obstetrics & Gynecology | 840 Pine St, Ste 760, Macon, GA 31201-2100 | 2005-08-19 |
| 1831699966 | Keianna S Haley | Obstetrics & Gynecology | 3240 Avalon Blvd, Conyers, GA 30013-6320 | 2018-02-15 |
| Find all providers with the same taxonomy | ||||
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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.