NPIMap

Organization Active NPI

James D Smith MD PC

  • Obstetrics & Gynecology Physician
  • Savannah, GA
National Provider Identifier
1194989426
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
016431 Issued in GA
Legal business name
JAMES D SMITH MD PC
Practice address
5354 Reynalds St
Suite 225
Savannah, GA 31405
Phone
(912) 355-5593
Fax
(912) 355-5404
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
James D Smith, MDNPI 1245247543
Title
President
Phone
(912) 355-5593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 016431 GA Primary

Addresses

Primary practice location

5354 Reynalds St
Suite 225
Savannah, GA 31405

Mailing address

5354 Reynalds St
Suite 225
Savannah, GA 31405
Phone (912) 355-5593

Other identifiers 1

IdentifierTypeStateIssuer
00517932AMedicaidGA

Other names 1

  • Medical Group Corporation Other name

National Provider Directory

National Provider Directory

Locations

5205 Frederick St
Savannah, GA 31405
Phone (912) 354-7044

5354 Reynolds St
Ste 225
Savannah, GA 31405
Phone (912) 352-7393

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1194989426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 REYNALDS ST",
            "address_2": "SUITE 225",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-355-5593",
            "fax_number": "912-355-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNALDS ST",
            "address_2": "SUITE 225",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-355-5593",
            "fax_number": "912-355-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-355-5593",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "016431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00517932A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Group Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.