Organization Active NPI

Family & Occupational Medicine of Conyers

  • Family Medicine Physician
  • Conyers, GA
National Provider Identifier
1013281948
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY & OCCUPATIONAL MEDICINE OF CONYERS
Practice address
1907 Crescent Moon Dr NE
Conyers, GA 30012-2893
Phone
(404) 358-3427
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gregory Scott Smith, M.D.NPI 1861582934
Title
President
Phone
(404) 358-3427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1907 Crescent Moon Dr NE
Conyers, GA 30012-2893

Mailing address

1907 Crescent Moon Dr NE
Conyers, GA 30012-2893
Phone (404) 358-3427

Other practice location 1

905 Flat Shoals Rd SE
Conyers, GA 30094-5911
Phone (770) 761-5511

National Provider Directory

National Provider Directory

Locations

905 Flat Shoals Rd SE
Conyers, GA 30094
Phone (678) 468-5793

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1013281948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 CRESCENT MOON DR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300122893",
            "telephone_number": "404-358-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 CRESCENT MOON DR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300122893",
            "telephone_number": "404-358-3427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Flat Shoals Rd SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300945911",
            "country_code": "US",
            "telephone_number": "770-761-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY & OCCUPATIONAL MEDICINE OF CONYERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-358-3427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.