Active NPI
Greg R Smith
- Counselor
- Atlanta, GA
National Provider Identifier
1275986903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 477 Windsor St SW
Suite 203
Atlanta, GA 30312-2530 - Phone
- (404) 594-1447
- NPI assigned
- Jul 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Assistant Health Information Record Technician | 2470A2800X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
477 Windsor St SW
Suite 203
Atlanta, GA 30312-2530
Mailing address
477 Windsor St SW
Suite 203
Atlanta, GA 30312-2530
Phone (404) 594-1447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11111111 | Other | GA | UNDETERMINED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Here'S to Life, Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Atlanta, GA
- NPI 1235916578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1275986903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 WINDSOR ST SW",
"address_2": "SUITE 203",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303122530",
"telephone_number": "404-594-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 WINDSOR ST SW",
"address_2": "SUITE 203",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303122530",
"telephone_number": "404-594-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GREG",
"middle_name": "R",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "2470A2800X",
"taxonomy_group": "",
"desc": "Technician, Health Information, Assistant Record Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNDETERMINED",
"identifier": "11111111",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.