Willie James Smith Jr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

052470684 Issued in GA

Practice address

6399 Stonelake Dr SW
Atlanta, GA 30331-8115

Phone

(470) 330-4827

NPI assigned

Oct 31, 2022

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1184331274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 STONELAKE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318115",
            "telephone_number": "470-330-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 STONELAKE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318115",
            "telephone_number": "470-330-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "052470684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "831688534",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Torrence Smith Jr., M.D.
• William Robert Smith Jr., MD
• William Sean Smith, MD
• William Speakman Smith II
• Willie Hilliard Smith Jr., MD
• Wilsonia Lee Smith
• Yolanda Smith
• Yolanda Dukes Smith
• Yvette M Smith, M.D.
• Karen Smithson, LCSW

• Non-emergency Medical Transport (VAN) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.