Kevin Madras Smith, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

057272 Issued in GA

Practice address

803 N Jefferson St Ste C
Albany, GA 31701-5117

Phone

(229) 312-5800

NPI assigned

Jan 8, 2007

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Phoebe Putney Memorial Hospital

  • Family Medicine Physician
  • Albany, GA
  • NPI 1316060585
  NPD (past)
• Phoebe Putney Memorial Hospital Inc

  • Community/Retail Pharmacy
  • Albany, GA
  • NPI 1891315420
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811045362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SYLVESTER RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052479",
            "telephone_number": "229-312-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N JEFFERSON ST STE C",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317015117",
            "telephone_number": "229-312-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "MADRAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "GA",
            "license": "057272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleep Scores, Inc.
• Mary Beth Smarra, PA-C
• Bruce Alexander Smith, MD
• Clarissa Lorraine Smith, RN, NP
• Kaysha Smith
• Latandria Smith, PHD, LCSW
• Latiffi Stevondria Smith
• Lisa Merritt Smith, RPH
• Michele Wilson Smith, L.D.
• Nettie Pearl Smith

• Occupational Medicine Physician in Albany, GA
• Providers in Albany, GA by specialty
• Occupational Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.