Organization Active NPI

Theodore G. Smith, D.C., P.C

  • Chiropractor
  • Eatonton, GA
National Provider Identifier
1104996644
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THEODORE G. SMITH, D.C., P.C
Practice address
121 Harmony Xing Ste 6
Eatonton, GA 31024-9573
Phone
(706) 485-1010
Fax
(706) 485-1019
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Hannah R Goss
Title
Operations Manager
Phone
(706) 485-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

121 Harmony Xing Ste 6
Eatonton, GA 31024-9573

Mailing address

121 Harmony Xing Ste 6
Eatonton, GA 31024-9573
Phone (706) 485-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000644 GA Part B Supplier - Clinic/Group Practice 0143299826 Receives reassigned benefits from 1 practitioner
Practice locations: Eatonton, GA

National Provider Directory

National Provider Directory

Locations

639 Old Phoenix Rd
Eatonton, GA 31024
Phone (706) 485-1010

121 Harmony Xing
Ste 6
Eatonton, GA 31024
Phone (706) 485-1010

101 S Jefferson Ave
Eatonton, GA 31024
Phone (706) 484-2227

Practitioners & affiliated clinicians

Practitioners 7

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1104996644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HARMONY XING STE 6",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249573",
            "telephone_number": "706-485-1010",
            "fax_number": "706-485-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HARMONY XING STE 6",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249573",
            "telephone_number": "706-485-1010",
            "fax_number": "706-485-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE G. SMITH, D.C., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "706-485-1010"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.