DR. CLAYTON ALLEN SMITH JR. (NPI# 1891088613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891088613 |
| Entity Type | Individual |
| Full Name | DR. CLAYTON ALLEN SMITH JR. |
| Credential | M.D. |
| Practice Address |
School of Medicine Building Ste 327 100 Woodruff Circle Atlanta GA 30322-0001 |
| Mailing Address |
2451 Medlock Cmns Decatur GA 30030-1599 |
| Practice Telephone | 4047275658 |
| Practice Fax Number | 4047273744 |
| Mailing Telephone | 3176500112 |
| Mailing Fax Number | 3176500112 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R2642 | KY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | R2642 | KY | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
74103 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RA0002X | 74103 | GA |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811474877 | Clayton Lynn Smith | Social Worker | 2463 E Gala St Ste 100, Meridian, ID 83642-5210 | 2018-07-23 |
| 1992822100 | Clayton B. Smith IIi | Dentist | 1606 Doctors Cir, Wilmington, NC 28401-7406 | 2007-03-23 |
| 1043349533 | Clayton Smith | Counselor | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2007-03-02 |
| 1801851894 | Clayton A. Smith | Anesthesiology | 3641 Ensign Rd Ne, Suite 6b, Olympia, WA 98506-5046 | 2006-04-20 |
| 1700886058 | Clayton A Smith | Optometrist | 820 Professional Center Dr, Eastman, GA 31023-6734 | 2005-07-28 |
| 1720614829 | Clayton Austin Smith | Pharmacy | 873 W Carmel Dr, Carmel, IN 46032-5804 | 2020-03-20 |
| 1184184160 | Clayton Patrick Smith | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2019-03-25 |
| 1316404726 | Clayton Smith | Pharmacist | 324 W Patton St, Lafayette, GA 30728 | 2019-02-22 |
| 1649643412 | Clayton N Smith Jr. | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2015-11-03 |
| 1083045322 | Clayton Smith | Pharmacist | 66 Western Ave, Fairfield, ME 04937-1337 | 2013-12-12 |
| Street Address |
SCHOOL OF MEDICINE BUILDING STE 327 100 WOODRUFF CIRCLE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
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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.