Lacey Slaughter Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA001576 Issued in GA

Practice address

2405 Osler CT
Suite 200
Albany, GA 31707-0214

Phone

(229) 883-4009

Fax

(229) 883-4320

NPI assigned

Mar 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1447592035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 WILLOW LAKE DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635379",
            "telephone_number": "229-888-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 OSLER CT",
            "address_2": "SUITE 200",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070214",
            "telephone_number": "229-883-4009",
            "fax_number": "229-883-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER SMITH",
        "first_name": "LACEY",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA001576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery R Singleton, DMD
• Beau Sinyard, PHARMD
• Kitty Bonita Sisk, PA-C
• Sisters Anointed to Serve
• Troy E Skidmore, D.O.
• Kimberly Deann Slaughter
• Mellanie Rose Sledge, NP
• Sleep Scores, Inc.
• Mary Beth Smarra, PA-C
• Bruce Alexander Smith, MD

• Physical Therapy Assistant in Albany, GA
• Providers in Albany, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.