Active NPI
Lyndsey Smith
- Counselor
- Pooler, GA
National Provider Identifier
1154138485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- APC010110
- Practice address
- 138 Canal St Ste 303
Pooler, GA 31322-4046 - Phone
- (912) 433-7829
- NPI assigned
- Dec 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | APC010110 | GA | Primary |
Addresses
Primary practice location
138 Canal St Ste 303
Pooler, GA 31322-4046
Mailing address
48 Dunnoman Dr
Savannah, GA 31419-8140
Phone (423) 432-5879
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC010110 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suns Up International, Inc | Current | Accepting new patients |
Locations
138 Canal St
Ste 303
Pooler, GA 31322
Phone (912) 433-7829
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1154138485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 DUNNOMAN DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314198140",
"telephone_number": "423-432-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 CANAL ST STE 303",
"city": "POOLER",
"state": "GA",
"postal_code": "313224046",
"telephone_number": "912-433-7829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LYNDSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "APC010110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.