C Daniel Smith, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

42730 Issued in GA

Practice address

1800 Peachtree St NW Ste 444
Atlanta, GA 30309-2505

Phone

(404) 445-7787

Fax

(404) 445-8404

NPI assigned

Jul 25, 2006

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

Other names 1

• CD Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Esophageal Institute of Atlanta

  • Surgery Physician
  • Atlanta, GA
  • NPI 1972950186
  NPD (past) Authorized official
• Mayo Clinic Florida

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jacksonville, FL
  • NPI 1659355725
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1619990124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 PEACHTREE RD NE UNIT 1808",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053793",
            "telephone_number": "404-323-4615",
            "fax_number": "404-445-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW STE 444",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092505",
            "telephone_number": "404-445-7787",
            "fax_number": "404-445-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "C DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "42730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CD",
            "last_name": "SMITH",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brandii Braelle Smith, FNP
• Brandon Smith
• Breanna Nicole Smith
• Brian Joseph Smith, PSY.D.
• Britanie R Smith, NP
• Carlton Garrett Smith
• Carly Smith, ATC/L, COHC
• Caroline Smith
• Caroline Jones Smith, PA
• Carolyn A. Smith, P.A.

• Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.