Active NPI
Family & Occupational Medicine of Conyers
- Family Medicine Physician
- Conyers, GA
National Provider Identifier
1013281948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Lilburn, GA
- NPI 1861582934
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.