Shannon Davis Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5479 Issued in GA

Practice address

235 North Church Street
Homerville, GA 31634

Phone

(912) 487-2288

Fax

(912) 487-2083

NPI assigned

Dec 6, 2006

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Shannon D Smith D. C P.C

  dba Smith Family Chiropractic

  • Chiropractor
  • Homerville, GA
  • NPI 1659599645
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1295894509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 NORTH CHURCH STREET",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "31634",
            "telephone_number": "912-487-2288",
            "fax_number": "912-487-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NORTH CHURCH STREET",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "31634",
            "telephone_number": "912-487-2288",
            "fax_number": "912-487-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "DAVIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00686485A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Semones, M.D.
• Shannon D Smith D. C P.C (Smith Family Chiropractic)
• Shuman Healthcare of Homerville
• Stephanie Rena Sloan, PHARMD
• Anita H Smith, CPHT
• South Georgia Medical Services
• Southern Healthcare Systems LLC
• Southland Clinch Emergency Medical Services, LLC
• Nancy Elizabeth Strickland, PA.C
• Joy Sumner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.