Samantha Brittany Smith, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003981 Issued in GA

Practice address

5673 Peachtree Dunwoody Rd Ste 150
Atlanta, GA 30342-1771

Phone

(404) 297-4230

Fax

(404) 252-7255

NPI assigned

Sep 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha B Williams Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment Care Compare group NPD
• Ear Nose Throat & Specialist-Cherokee Sinus Center

  • Specialist
  • Canton, GA
  • NPI 1154445930
  Medicare reassignment NPD
• Stinson Mobile Aud Ga LLC

  • Audiologist
  • Norcross, GA
  • NPI 1669948642
  Medicare reassignment NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464
  NPD (past)

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1679974463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421771",
            "telephone_number": "404-297-4230",
            "fax_number": "404-252-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "middle_name": "BRITTANY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "WILLIAMS",
            "middle_name": "B",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Douglas Smith, M.D.
• Sacoya Smith
• Sadelle Smith, RN
• Saless Smith, RBT
• Samantha Smith, PA-C
• Sara Ann Smith, BSN
• Sarah Smith, RD, LD
• Sarah Anne Smith
• Sarah Elizabeth Smith, M.D.
• Sarah Taylor Smith, PA-C

• Audiologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.