Robert Lynwood Smith, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

31837 Issued in GA

Practice address

100 Doctor's Drive
Suite 201
Douglas, GA 31533-2210

Phone

(912) 383-7976

Fax

(912) 383-7974

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

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.

• CRH Physician Practices LLC

  • Otolaryngology Physician
  • Douglas, GA
  • NPI 1003989070
  NPD (past) Authorized official
• CRH Physician Practices, LLC

  dba CRH Pain Management

  • Multi-Specialty Clinic/Center
  • Douglas, GA
  • NPI 1710046073
  NPD (past)
• Earl V. Wilkinson, M.D., LLC

  • Otolaryngology Physician
  • Columbia, MD
  • NPI 1700070513
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750374971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WARD STREET EXT W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315331902",
            "telephone_number": "912-384-1477",
            "fax_number": "912-384-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOCTOR'S DRIVE",
            "address_2": "SUITE 201",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332210",
            "telephone_number": "912-383-7976",
            "fax_number": "912-383-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "LYNWOOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "31837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "031837",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "455142019D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID - 17 JOHNSON ST",
            "identifier": "11D1105865",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "455142019C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID - 100 DOCTORS DR STE 201",
            "identifier": "11D1089117",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "341265",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHABA MEDICARE GROUP #",
            "identifier": "GRP7930",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD - GROUP #",
            "identifier": "DH1281",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD - PTAN",
            "identifier": "P00726007",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Stanley Sinclair, M.D.
• Smart Choice Nutrition
• Brandelyn Baggett Smith, LPC
• Farah Smith, NP-C
• Matthew Oliver Smith, D.M.D.
• Teresa Smith, PHARMD
• South Central Primary Care Center, Inc (Kids Health)
• South Central Primary Care Center, Inc (Psychiatric and Counseling Services)
• South Central Primary Care Center, Inc (Coffee County High School)
• South Central Primary Care Center, Inc. (Douglas Family Health)

• Otolaryngology Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.