Pamela Gober Smith, NURSE PRACTITIONER

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN045170 Issued in GA

Practice address

220 Research Dr
Athens, GA 30605-2738

Phone

(706) 583-2777

Fax

(706) 369-6374

NPI assigned

Jun 16, 2005

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1174528079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 CRABAPPLE HOLLOW RD",
            "city": "HULL",
            "state": "GA",
            "postal_code": "306462811",
            "telephone_number": "706-540-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RESEARCH DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052738",
            "telephone_number": "706-583-2777",
            "fax_number": "706-369-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAMELA",
        "middle_name": "GOBER",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN045170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa D Smith, MD
• Mahogania Smith, LMSW
• Melissa Dockery Smith, RN
• Millicent Smith, LCSW, CAADC, CPS
• Nathan Smith, MD
• Stephine Willimas Smith, LCSW, CADCII
• Susan Elizabeth Smith, PHARMD
• T Andy Smith, DPT MTC
• Taylor Smith
• Teresa Michelle Smith, CNA

• Women's Health Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.