Maggie Malaine Smith

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4611 Creek Wood PL
Gainesville, GA 30507-8874

Phone

(770) 533-3073

NPI assigned

Jan 18, 2019

Last updated

Jan 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maggie Malaine Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1609340009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 CREEK WOOD PL",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078874",
            "telephone_number": "770-533-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 CREEK WOOD PL",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078874",
            "telephone_number": "770-533-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAGGIE",
        "middle_name": "MALAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "SMITH",
            "middle_name": "MALAINE",
            "credential": "ATS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Ariel Smith, PT, DPT
• Justin R Smith, PA-C
• Kevin L Smith, MD
• Kimberly Dawn Smith, MS, OTR/L
• Kristin Nicole Smith, RBT
• Margie Suzanne Smith, LPC
• Mary Catherine Smith, FNP-C
• Melissa Anne Smith, DPT
• Monica Jackson Smith, LCSW
• Patricia M Smith, LPC, CPCS

• Student in an Organized Health Care Education/Training Program in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.