Malinda Smith

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Practice address

740 Fletcher St
Cedartown, GA 30125-3249

Phone

(770) 748-1500

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1295299030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 FLETCHER ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301253249",
            "telephone_number": "770-748-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FLETCHER ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301253249",
            "telephone_number": "770-748-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Fletcher St",
            "address_purpose": "LOCATION",
            "city": "Cedartown",
            "state": "GA",
            "postal_code": "301253249",
            "country_code": "US",
            "telephone_number": "770-748-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MALINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699806240",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Singleton, NP-C
• Calvin Louis Sinkfield
• Slimfit Weight Loss LLC (SlimFit Health and Wellness)
• Alanna Smith
• Kimberly Smith
• Tia Smith
• Peter Justin Strickland, PHARM.D.
• Christina Stump
• Amber Sumner, M.ED, CCC-SLP
• Chase Tarleton, LMSW

• Emotionally Disturbed Childrens' Residential Treatment Facility in Cedartown, GA
• Providers in Cedartown, GA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.