Gerry Nieman Smith MD LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

GERRY NIEMAN SMITH MD LLC

Practice address

1120 First Colonial Rd Ste 206
Virginia Beach, VA 23454-2418

Phone

(757) 496-2325

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Mariliz Vega-Anderson

Title

Credentialing Manager

Phone

(757) 297-1346

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerry Nieman Smith, MD

  • Physical Medicine & Rehabilitation Physician
  • Virginia Beach, VA
  • NPI 1215991377
  Medicare reassignment NPD
• Stephen W. Kayota, MD

  • Physical Medicine & Rehabilitation Physician
  • Virginia Beach, VA
  • NPI 1083687099
  NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1235855446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542418",
            "telephone_number": "757-496-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 FIRST COLONIAL RD STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542418",
            "telephone_number": "757-496-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERRY NIEMAN SMITH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "VEGA-ANDERSON",
        "authorized_official_first_name": "MARILIZ",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "757-297-1346"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Vayo Geraci, MASTERS
• Erin K Gerbus, PT
• Alexandra Paige Gergel
• Kathleen Gerlach
• Tippi Geron, OTD
• Gershon Pain Specialists, LLC
• Gershon Pain Specialists, LLC
• Steven Lloyd Gershon, MD
• Talya Gershon, LCSW
• Fionn Gersley

• Pain Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.