Individual provider Active NPI

Thomas Briggs Smotherman, D.C

  • Chiropractor
  • Valdosta, GA
National Provider Identifier
1356892772
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009777 Issued in GA
Practice address
701 Baytree Rd
Suite D
Valdosta, GA 31602-2880
Phone
(299) 247-2828
NPI assigned
Oct 20, 2016
Last updated
Oct 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009777 GA Primary

Addresses

Primary practice location

701 Baytree Rd
Suite D
Valdosta, GA 31602-2880

Mailing address

PO Box 5192
Valdosta, GA 31603-5192
Phone (229) 247-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228000850 GA Practitioner - Chiropractic 1658652946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Care Medical Center LLCGroup PAC ID 6406807015, 28 clinicians

Practice addresses (Care Compare)

2804 N Oak St
Suite C
Valdosta, GA 31602-5913
Phone (229) 241-8925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care Medical Center LLC CurrentSince Jun 1, 2017 Accepting new patients
Care Medical Center LLC Chiropractor CurrentSince Jun 1, 2017 Accepting new patients
Valdosta Chiropractic & Rehab, LLC Chiropractor CurrentSince Nov 4, 2016 Accepting new patients

Locations

220 Gornto Rd
Valdosta, GA 31602
Phone (229) 247-2828

2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925

701 Baytree Rd
Ste D
Valdosta, GA 31602
Phone (229) 247-2828

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1356892772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5192",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316035192",
            "telephone_number": "229-247-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BAYTREE RD",
            "address_2": "SUITE D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022880",
            "telephone_number": "299-247-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTHERMAN",
        "first_name": "THOMAS",
        "middle_name": "BRIGGS",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.