Theodore G. Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

LIC5766 Issued in GA

Practice address

639 Old Phoenix Rd
Eatonton, GA 31024-5610

Phone

(706) 485-1010

Fax

(706) 485-1019

NPI assigned

Aug 31, 2006

Last updated

Mar 1, 2017By 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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Pure Chiropractic Milledgeville, LLCGroup PAC ID 0941459903, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pure Chiropractic Milledgeville LLC

  • Chiropractor
  • Milledgeville, GA
  • NPI 1700146883
  Medicare reassignment Care Compare group NPD Authorized official
• Theodore G. Smith, D.C., P.C

  • Chiropractor
  • Eatonton, GA
  • NPI 1104996644
  Medicare reassignment NPD
• Jeffrey a Davenport DC PC

  dba Davenport Family Chiropractic

  • Chiropractor
  • Watkinsville, GA
  • NPI 1063601219
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1265544340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 OLD PHOENIX RD",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310245610",
            "telephone_number": "706-485-1010",
            "fax_number": "706-485-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 OLD PHOENIX RD",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310245610",
            "telephone_number": "706-485-1010",
            "fax_number": "706-485-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THEODORE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "LIC5766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lauranne Seawright
• Edwin Self IV, PHARMD
• Megan Sherlock
• Eric K Silver, MD
• Stephanie D Singleton, MD
• James E Southerland, MD
• Southern Home Care Services, Inc. (ResCare HomeCare)
• Southern Home Care Services, Inc. (ResCare HomeCare)
• Sterling Emergency Services of the Southeast Inc
• Steve M. Sinclair, Jr. DC, PC

• Chiropractor in Eatonton, GA
• Providers in Eatonton, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.