Organization Active NPI

Richard Lyndon Smith Jr MD PC

  • Internal Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1033414032
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
021818 Issued in GA
Legal business name
RICHARD LYNDON SMITH JR MD PC
Practice address
1260 Russell Pkwy
Warner Robins, GA 31088-5540
Phone
(478) 929-4100
Fax
(478) 329-8814
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Mrs. Katherine G Smith
Title
Office Manager
Phone
(478) 929-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 021818 GA Primary

Addresses

Primary practice location

1260 Russell Pkwy
Warner Robins, GA 31088-5540

Mailing address

PO Box 8309
Warner Robins, GA 31095-8309
Phone (478) 929-4100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1033414032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8309",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310958309",
            "telephone_number": "478-929-4100",
            "fax_number": "478-329-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885540",
            "telephone_number": "478-929-4100",
            "fax_number": "478-329-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD LYNDON SMITH JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-929-4100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "021818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.