Sheri B Smith, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

002593 Issued in GA

Practice address

2311 Lake Park Drive
Albany, GA 31707

Phone

(229) 435-0525

Fax

(229) 434-9827

NPI assigned

Sep 29, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: sheri.smith@msa1.eclinicaldirectplus.com

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1750378329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71367",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317081367",
            "telephone_number": "229-435-0525",
            "fax_number": "229-434-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LAKE PARK DRIVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707",
            "telephone_number": "229-435-0525",
            "fax_number": "229-434-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERI",
        "middle_name": "B",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "002593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000301A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Merritt Smith, RPH
• Michele Wilson Smith, L.D.
• Nettie Pearl Smith
• Raegan Marree Smith, MS, LAT, ATC
• Shamonica Lataya Smith
• Stephanie Renee Smith
• Tania Smith, M.D.
• Tara Elani Smith, PHARMD
• Todd S Smith, PSYD
• Paul Andrew Smurda, M.D.

• Surgical Physician Assistant in Albany, GA
• Providers in Albany, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.