Shelby K Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006798 Issued in GA

Practice address

1568 Southlake Pkwy Ste B
Morrow, GA 30260

Phone

(470) 878-0696

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life University, Inc

  • Clinic/Center
  • Marietta, GA
  • NPI 1902033343
  Medicare reassignment

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1093752123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 LOST CREEK DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881632",
            "telephone_number": "770-713-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 SOUTHLAKE PKWY STE B",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "30260",
            "telephone_number": "470-878-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Peachtree Dunwoody Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303281689",
            "country_code": "US",
            "telephone_number": "770-504-5162",
            "fax_number": "770-392-9298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHELBY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk L Smick, O.D.
• Sherrie Elizabeth Smith-Scott, DDS
• Brenton Smith, O.D.
• Michele S Smith, PHD
• Ronda Ronette Smith, RBT
• Sydney Smith
• SMJB Investments LLC
• Solo Therapy
• Lyssa Eileen Solomon Simpson
• Southern EMS, Inc

• Chiropractor in Morrow, GA
• Providers in Morrow, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.