Ernest E Smith, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

50441 Issued in GA

Practice address

115 W Dearborn Cir
Decatur, GA 30030-4474

Phone

(404) 263-6543

NPI assigned

Mar 17, 2020

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1730715137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W DEARBORN CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304474",
            "telephone_number": "404-263-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W DEARBORN CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304474",
            "telephone_number": "404-263-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERNEST",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "GA",
            "license": "50441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL BOARD",
            "identifier": "50441",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Renea Smith
• Donald W Smith, PHD
• Dustin Thomas Smith, M.D.
• Elizabeth Smith, MS
• Ellen Chiu Smith, M.D.
• Gabriel Nycole Smith, M.S. CCC-SLP
• Gregory Maurice Smith
• Jacqueline Smith
• Jasmine A Smith, MA CCC-SLP
• Jayne E Smith, LPC

• Public Health & General Preventive Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Public Health & General Preventive Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.