Smith Rural Health Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

113829 Issued in GA

Legal business name

SMITH RURAL HEALTH CLINIC

Practice address

114 S Jefferson St
Swainsboro, GA 30401-3146

Phone

(478) 237-7517

Fax

(478) 237-4299

NPI assigned

May 29, 2005

Last updated

Jul 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah S Williamson

Title

Clinic Administrator

Phone

(478) 237-7517

Specialties & licenses 1

Addresses

Other identifiers 13

Locations

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

{
    "created_epoch": "1117324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1285637728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304010160",
            "telephone_number": "478-237-7517",
            "fax_number": "478-237-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S JEFFERSON ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013146",
            "telephone_number": "478-237-7517",
            "fax_number": "478-237-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH RURAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-29",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "478-237-7517",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "113829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGROUP/A HOWARD",
            "identifier": "10054020",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A HOWARD UNITED HLTHCARE",
            "identifier": "924053",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H WILDER SMITH JR PAC NPI",
            "identifier": "1023012580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASON W SMITH PAC NPI",
            "identifier": "1588662506",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAREPARTB/AHOWARD",
            "identifier": "11BDVCZ",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE GEORGIA",
            "identifier": "336040",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00469664G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP GA",
            "identifier": "10047395",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LISCENSE/AHOWARD",
            "identifier": "034616",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000241689A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGA/A HOWARD",
            "identifier": "1225102908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOWARD MD NPI",
            "identifier": "1225102908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SRHC UNITED HLTHCARE",
            "identifier": "26760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda F Scott, PA-C
• Serengela Care Homes, LLC
• Martin R Sheldon, MD
• Sonya L Shinhoster, NP
• Smith Personal Care Home 1and 2 Inc
• Breanna Smith, PHARMD
• Mark D Smith, DMD
• Mason Williams Smith, P.A.
• Leann Phillips Snellgrove, LPC
• South Georgia Internal Medicine,PC

• Rural Health Clinic/Center in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Rural Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.