Active NPI
Dannie Carroll Smith, PT, ECS
- Clinical Electrophysiology Physical Therapist
- Thomaston, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- License
- PT000819
- Practice address
- 42 Dogwood TRL
Thomaston, GA 30286-4911 - Phone
- (706) 647-6218
- Fax
- (706) 647-3480
- NPI assigned
- Mar 12, 2008
- Last updated
- Mar 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Electrophysiology Physical Therapist | 2251E1300X | PT000819 | GA | Primary |
Addresses
Primary practice location
42 Dogwood TRL
Thomaston, GA 30286-4911
Mailing address
42 Dogwood TRL
Thomaston, GA 30286-4911
Phone (706) 647-6218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT000819 | GA | MD | Clinical Electrophysiology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Arts Physical Therapy | Electrophysiology, Clinical | Current | Accepting new patients |
| Macon Orthopaedic & Hand Center, PA | Current | Accepting new patients | |
| Forsyth Street Orthopaedic Surgery and Rehabilitation Center | Past | Accepting new patients | |
| Dialysis Center of Forsyth LLC | Past | Accepting new patients |
Locations
120 N Lee St
#E
Forsyth, GA 31029
Phone (478) 994-3390
3708 Northside Dr
Macon, GA 31210
Phone (478) 254-5303
301 Margie Dr
Warner Robins, GA 31088
Phone (478) 953-5800
Interoperability endpoints
- dannie.smith.1@4291.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba OrthoGeorgia
- Orthopaedic Surgery Physician
- Macon, GA
- NPI 1356489850
-
dba Monroe Physical Therapy
- Physical Therapist
- Forsyth, GA
- NPI 1659552461
Electrophysiology, Clinical
-
- Orthopaedic Surgery Physician
- Kathleen, GA
- NPI 1881200251
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Forsyth, GA
- NPI 1982125142
-
- Orthopaedic Surgery Physician
- Macon, GA
- NPI 1215947858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1487824918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 DOGWOOD TRL",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302864911",
"telephone_number": "706-647-6218",
"fax_number": "706-647-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 DOGWOOD TRL",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302864911",
"telephone_number": "706-647-6218",
"fax_number": "706-647-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DANNIE",
"middle_name": "CARROLL",
"name_prefix": "Mr.",
"credential": "PT, ECS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "GA",
"license": "PT000819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomaston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.