Beth D Smith, CRNA

Individual provider Active NPI Anesthesiologist Assistant · Baxley, GA

NPI 1679655989 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1679655989
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiologist Assistant 367H00000X
License
RN047845 (GA)
Practice address
163 E Tollison St
Baxley, GA 31513-0120
Phone
(912) 367-9841
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Ahp of Georgia, LLC Past
since Aug 1, 2004
Accepting new patients
Robins Anesthesia Services, LLC Past Accepting new patients
The Baxley and Appling County Hospital Authority Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X RN047845 GA Yes

Addresses

Primary practice location

163 E Tollison St
Baxley, GA 31513-0120

Mailing address

PO Box 2070
Baxley, GA 31515-2070
Phone (912) 367-9841

Other providers in Baxley, GA

All providers in Baxley, GA · Anesthesiologist Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.