George T Smith-Vaniz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

06467 Issued in MS

Practice address

1860 Chadwick Dr Ste 102
Jackson, MS 39204-3465

Phone

(601) 376-2115

Fax

(601) 376-2114

NPI assigned

Aug 9, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: george.smith.vaniz.1@4695.direct.athenahealth.com

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.

• Heart Associates of Central Ms

  • Cardiovascular Disease Physician
  • Jackson, MS
  • NPI 1508036575
  NPD (past)
• Jackson Hma LLC

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1033163092
  NPD (past)
• River Oaks Management Company LLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1922029040

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1114937463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR STE 102",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043465",
            "telephone_number": "601-376-2115",
            "fax_number": "601-376-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR STE 102",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043465",
            "telephone_number": "601-376-2115",
            "fax_number": "601-376-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-VANIZ",
        "first_name": "GEORGE",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "06467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016278",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "george.smith.vaniz.1@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1860 Chadwick Dr Ste 102",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392043465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kellie Smith Lane
• Edith Faye Smith Rayford, M.D.
• Phyllis Smith-Bowen, OTR/L
• Amber Smith-Bush, PHARMD
• Anastasia Smith-McEwen, L.P.C.
• Amy Gale Smith, PNP-BC
• Amy Wallace Smith, N.P.
• Andrew Martin Smith, M.D.
• Antoinette Smith
• Belinda Faye Smith, LCSW

• Internal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.