Davaughan Smith

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

3755 Redwine Rd Apt 5214
East Point, GA 30344-5957

Phone

(229) 947-9013

NPI assigned

Nov 10, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1780340299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 REDWINE RD APT 5214",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445957",
            "telephone_number": "229-947-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 REDWINE RD APT 5214",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445957",
            "telephone_number": "229-947-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVAUGHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josette M. Simpson, CRNA
• Neetu Singh, M.D.
• Carolyn Yvonne Singleton-Russell, CSFA/BSHA/HM
• Nichole Christiana Sloan, MSW, LCSW
• Daiysha Smith
• Valerie Smith, DDS
• Sobek, LLC
• Sound Physicians of Georgia III PC
• South Atlant Medical& Rehabilitation, L.L.C.
• South Atlanta Digestive Diseases Associates

• Contractor in East Point, GA
• Providers in East Point, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.