Active NPI
Lynn McAlum Smith, PA
- Physician Assistant
- Metter, GA
National Provider Identifier
1073800850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006121
- Practice address
- 380 Cedar St
Metter, GA 30439-4042 - Phone
- (912) 685-5073
- Fax
- (912) 685-1197
- NPI assigned
- Jun 30, 2011
- Last updated
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006121 | GA | Primary |
Addresses
Primary practice location
380 Cedar St
Metter, GA 30439-4042
Mailing address
380 Cedar St
Metter, GA 30439-4042
Phone (912) 685-5073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1073800850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 CEDAR ST",
"city": "METTER",
"state": "GA",
"postal_code": "304394042",
"telephone_number": "912-685-5073",
"fax_number": "912-685-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 CEDAR ST",
"city": "METTER",
"state": "GA",
"postal_code": "304394042",
"telephone_number": "912-685-5073",
"fax_number": "912-685-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LYNN",
"middle_name": "MCALUM",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "006121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metter, GA
- Jennifer M Sikes, SLP
- Sean Patrick Sills
- Erin Rebecca Slaughter, MD
- John Dorsey Smith, M.D.
- Kathryn A. Smith, FNP
- Floyd A Soriano, M.D.
- Southeast Lung & Critical Care Specialists, PC. (Southeast Lung Associates)
- Southern Home Care Services, Inc. (ResCare HomeCare)
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Southern Home Care Services, Inc. (ResCare HomeCare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.