B. Smith & Associates, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

B. SMITH & ASSOCIATES, LLC

Doing business as

Star Innovative Coaching

Practice address

4501 Russell Pkwy Ste 36
Warner Robins, GA 31088-8681

Phone

(478) 333-1232

Fax

(478) 333-1368

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara A Smith, M.ED.

Title

Ceo

Phone

(478) 352-1025

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Star Innovative Coaching Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1548834641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6916",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310956916",
            "telephone_number": "478-333-1232",
            "fax_number": "478-333-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 RUSSELL PKWY STE 36",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888681",
            "telephone_number": "478-333-1232",
            "fax_number": "478-333-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. SMITH & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-352-1025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003249905B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "star.bstg@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4501 Russell Pkwy Ste 36",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310888681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Star Innovative Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.