Dustin Phillip Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008625 Issued in GA

Practice address

285 Plaza Avenue
Eastman, GA 31023

Phone

(478) 374-6011

Fax

(478) 374-7702

NPI assigned

Feb 19, 2010

Last updated

Mar 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Middle Georgia Total Health Center, LLC

  • Chiropractor
  • Eastman, GA
  • NPI 1700516366
  Medicare reassignment NPD Authorized official
• Eastman Chiropractic Center

  • Chiropractor
  • Eastman, GA
  • NPI 1689998395
  Authorized official Same address or phone

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1467774380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 PLAZA AVENUE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "31023",
            "telephone_number": "478-374-6011",
            "fax_number": "478-374-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 PLAZA AVENUE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "31023",
            "telephone_number": "478-374-6011",
            "fax_number": "478-374-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DUSTIN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jane Sheffield, BSN, RN
• Britney Ward Smith, NP-BC
• Cassie Smith, PHARMD
• Clayton A Smith, OD
• Debra Bradfield Smith, D.M.D.
• H. Wayne Smith, D.D.S.
• Nicole Smith, NP
• Southeast Georgia Treatment Center
• Southeastern Hospitalist Physicians, LLP
• Brandi Southerland, RD, LD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.