Madilyn Aubrey Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010366 Issued in GA

Practice address

608 Moreland Ave NE
Atlanta, GA 30307-1425

Phone

(404) 687-2382

Fax

(404) 687-2384

NPI assigned

May 11, 2020

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlanta Chiropractic & Wellness Center

  • Chiropractor
  • Atlanta, GA
  • NPI 1114344850
  NPD (past)
• Atlanta Spine Wellness Center LLC

  • Preferred Provider Organization
  • Atlanta, GA
  • NPI 1952680928
  NPD (past)

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1518589779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2482 MAPLE ST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303442430",
            "telephone_number": "404-433-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MORELAND AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071425",
            "telephone_number": "404-687-2382",
            "fax_number": "404-687-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MADILYN",
        "middle_name": "AUBREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Kyle Smith
• Lori Latrece Smith, LCSW
• Lori Mellen Smith
• Luke Smith, M.D.
• Luke Gerard Smith, LMSW
• Madison Smith
• Mandi Raye Smith, BS, RBT
• Marche' Smith, MD
• Mark Anthony Smith, DC
• Mark H Smith, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.