Edward J Smith DC PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2860 Issued in GA

Legal business name

EDWARD J SMITH DC PC

Practice address

564 Charlie Smith Sr Hwy
Saint Marys, GA 31558-3000

Phone

(912) 882-7880

Fax

(912) 882-7311

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Edward J Smith, D.C.

Title

Doctor

Phone

(912) 882-7880

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Anthony Cane, D.C.

  • Chiropractor
  • Saint Marys, GA
  • NPI 1083181853
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1801167325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5035",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315585035",
            "telephone_number": "912-882-7880",
            "fax_number": "912-882-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 CHARLIE SMITH SR HWY",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583000",
            "telephone_number": "912-882-7880",
            "fax_number": "912-882-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J SMITH DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "912-882-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "2860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "35ZCBTF",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcelle Dunning
• Gary M Dutka, PA-C
• Lesly Kay Duvall, FNP
• Dva Healthcare Renal Care Inc
• Jessica Dyals, MSN, APRN, FNP-C
• Mary Elizabeth Edwards
• Katherine Eicher, LCSW
• Alessandra Ellis-Lodmell, LCSW
• Jasmina Ellis, CRNA
• Robyn N Ellis, APRN, FNP-BC

• Primary Care Clinic/Center in Saint Marys, GA
• Providers in Saint Marys, 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 Jan 13, 2012; 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.