NPIMap

Organization Active NPI

Wendy L Smith M.D. PC

  • Otolaryngology Physician
  • Blairsville, GA
National Provider Identifier
1184880338
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
049746 Issued in GA
Legal business name
WENDY L SMITH M.D. PC
Practice address
130 Hospital Cir
Blairsville, GA 30512-3130
Phone
(706) 745-1305
Fax
(706) 745-8463
NPI assigned
Aug 6, 2008
Last updated
Aug 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Dr. Wendy Lynn Smith, M.D.NPI 1235171455
Title
Owner
Phone
(706) 745-1305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 049746 GA Primary
Audiologist 231H00000X AUD003556 GA

Addresses

Primary practice location

130 Hospital Cir
Blairsville, GA 30512-3130

Mailing address

130 Hospital Cir
Blairsville, GA 30512-3130
Phone (706) 745-1305

Other identifiers 2

IdentifierTypeStateIssuer
000913756CMedicaidGA
89065FTMedicaidNC

National Provider Directory

National Provider Directory

Locations

11 Hospital Way
Blairsville, GA 30512
Phone (706) 439-6875

Practitioners & affiliated clinicians

Practitioners 158

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 158

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1184880338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL CIR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123130",
            "telephone_number": "706-745-1305",
            "fax_number": "706-745-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL CIR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123130",
            "telephone_number": "706-745-1305",
            "fax_number": "706-745-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY L SMITH M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-745-1305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "049746",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000913756C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89065FT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.