Organization Active NPI

Alice W. Smith, MD PC

  • General Acute Care Hospital
  • Atlanta, GA
National Provider Identifier
1679724413
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
061520 Issued in GA
Legal business name
ALICE W. SMITH, MD PC
Practice address
1920 Hazelbrook Way
Atlanta, GA 30339-8471
Phone
(770) 226-9252
Fax
(770) 952-4091
NPI assigned
Oct 9, 2008
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Alice W. Smith, MD
Title
President
Phone
(770) 226-9252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 061520 GA Primary

Addresses

Primary practice location

1920 Hazelbrook Way
Atlanta, GA 30339-8471

Mailing address

1920 Hazelbrook Way
Atlanta, GA 30339-8471
Phone (770) 226-9252

National Provider Directory

National Provider Directory

Locations

1676 Mulkey Rd
Austell, GA 30106
Phone (770) 916-4503

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1679724413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 HAZELBROOK WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303398471",
            "telephone_number": "770-226-9252",
            "fax_number": "770-952-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 HAZELBROOK WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303398471",
            "telephone_number": "770-226-9252",
            "fax_number": "770-952-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE W. SMITH, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-226-9252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "061520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.