Active NPI
Stephen H Smith, MD
- Pediatrics Physician
- Alpharetta, GA
National Provider Identifier
1164488789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 027447
- Practice address
- 3400 A Old Milton Pkwy
Ste 510
Alpharetta, GA 30005 - Phone
- (770) 475-2233
- Fax
- (770) 740-9617
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 027447 | GA | Primary |
| Pediatrics Physician | 208000000X | 15091 | TN |
Addresses
Primary practice location
3400 A Old Milton Pkwy
Ste 510
Alpharetta, GA 30005
Mailing address
3400 A Old Milton Pkwy
Ste 510
Alpharetta, GA 30005
Phone (770) 475-2233
Other names 1
- Stephen Harold Smith
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027447 | GA | MD | Pediatrics Physician |
| 15091 | TN | MD | Pediatrics Physician |
Interoperability endpoints
- ssmith1962@choa.gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164488789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 A OLD MILTON PKWY",
"address_2": "STE 510",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "770-475-2233",
"fax_number": "770-740-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 A OLD MILTON PKWY",
"address_2": "STE 510",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "770-475-2233",
"fax_number": "770-740-9617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "STEPHEN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "027447",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "15091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHEN",
"last_name": "SMITH",
"middle_name": "HAROLD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.