Active NPI
Thomas Harding Smith III, MD
- Emergency Medicine Physician
- Augusta, GA
National Provider Identifier
1386648079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 040793
- Practice address
- 2260 Wrightsboro Rd
Augusta, GA 30904-4764 - Phone
- (866) 313-5266
- Fax
- (205) 313-5298
- NPI assigned
- Jun 9, 2005
- Last updated
- Sep 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 040793 | GA | Primary |
Addresses
Primary practice location
2260 Wrightsboro Rd
Augusta, GA 30904-4764
Mailing address
PO Box 933049
Atlanta, GA 31193-3049
Phone (866) 313-5266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q40793 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Csra Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| Cyrus Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Csra Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Augusta, GA
- NPI 1750524849
-
- Emergency Medicine Physician
- Augusta, GA
- NPI 1447352778
-
- Emergency Medicine Physician
- Augusta, GA
- NPI 1568412294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1386648079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933049",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311933049",
"telephone_number": "866-313-5266",
"fax_number": "205-313-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044764",
"telephone_number": "866-313-5266",
"fax_number": "205-313-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "THOMAS",
"middle_name": "HARDING",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "040793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q40793",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.