Sidney P Smith Iii (NPI# 1104817410, PAC ID# 5890725824) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1104817410 |
PAC ID by PECOS | 5890725824 |
Professional Enrollment ID | I20050824000961 |
Full Name | Sidney P Smith Iii |
Organization Legal Name | SIDNEY P SMITH MD PC |
Address |
176 Dermis Rd Hardeeville SC 29927 |
Phone Number | 8432082055 |
Gender | M |
Credential | MD |
Medical School | MEDICAL COLLEGE OF GEORGIA |
Graduation Year | 1987 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 0042206807 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110075 | EAST GEORGIA REGIONAL MEDICAL CENTER |
110024 | CANDLER HOSPITAL |
110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
110036 | MEMORIAL UNIVERSITY MEDICAL CENTER |
420067 | BEAUFORT COUNTY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
305 Elm St W, Hampton, SC 29924-3205 | 8005990067 | SIDNEY P SMITH MD PC |
176 Dermis Rd, Hardeeville, SC 29927 | 8432082055 | SIDNEY P SMITH MD PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% |
Organization Legal Name | SIDNEY P SMITH MD PC |
Physicians | 15 |
Name | Specialty | Organization | Address |
---|---|---|---|
William A Stephens | Physician Assistant | Sidney P Smith Md PC | 305 Elm St W, Hampton, SC 29924-3205 |
William R Marshall Iii | Nurse Practitioner | Sidney P Smith Md PC | 9665 Ford Ave, Richmond Hill, GA 31324-3652 |
Karen C Penrose | Nurse Practitioner | Sidney P Smith Md PC | 6677 Ga Hwy 67, Statesboro, GA 30458 |
Martina Kolovich | Nurse Practitioner | Sidney P Smith Md PC | 9665 Ford Ave, Richmond Hill, GA 31324-3652 |
Courtney Johnson | Nurse Practitioner | Sidney P Smith Md PC | 900 Mohawk St, Ste E, Savannah, GA 31419-1768 |
Christopher J Anderson | Nurse Practitioner | Sidney P Smith Md PC | 900 Mohawk St, Ste E, Savannah, GA 31419-1768 |
Rebecca L Darroudi | Physician Assistant | Sidney P Smith Md PC | 900 Mohawk St, Ste E, Savannah, GA 31419-1768 |
Larry I A Canfield | Physician Assistant | Sidney P Smith Md PC | 9665 Ford Ave, Richmond Hill, GA 31324-3652 |
Beth V Barlet | Physician Assistant | Sidney P Smith Md PC | 900 Mohawk St, Ste E, Savannah, GA 31419-1768 |
Julie Griner Mattox | Nurse Practitioner | Sidney P Smith Md PC | 900 Mohawk St, Ste E, Savannah, GA 31419-1768 |
Street Address |
176 DERMIS RD |
City | HARDEEVILLE |
State | SC |
Zip | 29927 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carey Christiansen Ford | Family Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
Josh Bowers | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
Paul W Hofferbert | Internal Medicine | South Carolina Group Services, LLC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
John S Bodkin | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
Verston K Service | Family Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
Gabriel C Fornari Jr. | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
Pamela G Hanna | Anesthesiology | Medstream Anesthesia Pllc | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
Ronald P Mulner | Anesthesiology | Medstream Anesthesia Pllc | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
Paul Martin Zorch | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
William Mcdermott | Internal Medicine | South Carolina Group Services, LLC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
Find all physicians in zip 29927 |
City | HARDEEVILLE |
Zip Code | 29927 |
Specialty | DERMATOLOGY |
City + Specialty | HARDEEVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Sidney P Smith Iii.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.