Joseph C. Smiddy MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

042728 Issued in GA

Legal business name

JOSEPH C. SMIDDY MD PC

Practice address

1700 Briarcliff Rd NE
Atlanta, GA 30306-2106

Phone

(404) 228-2648

Fax

(404) 228-7556

NPI assigned

Oct 3, 2014

Organization subpart

No

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

Authorized official

Name

Joseph SmiddyNPI 1841246006

Title

M.D. & Office Manager

Phone

(404) 228-2648

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Carl Smiddy, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1841246006
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1699178681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BRIARCLIFF RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062106",
            "telephone_number": "404-228-2648",
            "fax_number": "404-228-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BRIARCLIFF RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062106",
            "telephone_number": "404-228-2648",
            "fax_number": "404-228-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH C. SMIDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "SMIDDY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "M.D. & OFFICE MANAGER",
        "authorized_official_telephone_number": "404-228-2648"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "042728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "11BDRMB",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Jordan, M.D.
• Jordan'S Crossing Home Healthcare, LLC
• Erica Marlo Jorgensen
• Jose-Herick T Napenas
• James H. Jose, M.D.
• Joseph Freschi, MD, LLC
• Joseph H. Martin, Jr., MD, LLC
• Joseph M Woods IV, MD, LLC
• Alexis Maria Joseph, PMHNP-BC
• Allan Junior Joseph, MD

• Primary Care Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.