Yvonne L. Smith MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

042443 Issued in GA

Legal business name

YVONNE L. SMITH MD PC

Doing business as

Rophe Adult & Pediatric Medicine

Practice address

4910 Jonesboro Road
Union City, GA 30291-2085

Phone

(770) 964-7736

Fax

(770) 306-1726

NPI assigned

Apr 28, 2006

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yvonne Lorraine Smith, MD PCNPI 1376594770

Title

Ceo

Phone

(770) 964-7736

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rophe Adult & Pediatric Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yvonne L Smith, MD

  • Pediatrics Physician
  • Union City, GA
  • NPI 1376594770
  Medicare reassignment Care Compare group NPD Authorized official
• Dwight D Blake, MD

  • Internal Medicine Physician
  • Union City, GA
  • NPI 1811938814
  Medicare reassignment Care Compare group NPD
• Dionne Tehsheen Bravo, FNP-C

  • Family Nurse Practitioner
  • Union City, GA
  • NPI 1215385992
  Medicare reassignment NPD
• Nardia Nichola Watson, MSN, FNP

  • Family Nurse Practitioner
  • Union City, GA
  • NPI 1770538860
  Medicare reassignment NPD
• Shayanna Nicole Golden, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Union City, GA
  • NPI 1245815307
  NPD (past)
• Mei Ling Li, NP

  • Family Medicine Physician
  • Union City, GA
  • NPI 1609756196
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1831156306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 JONESBORO ROAD",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912085",
            "telephone_number": "770-964-7736",
            "fax_number": "770-306-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 JONESBORO ROAD",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912085",
            "telephone_number": "770-964-7736",
            "fax_number": "770-306-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNE L. SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-964-7736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "042443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007340271",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rophe Adult & Pediatric Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Willis
• Willocks Personal Care Home LLC (Accessible Health Care of Peachtree City)
• Adella Wooden
• Joseph Wright II
• Xpress Laboratory Services LLC
• Juan Antonio Zermeno de Santos

• Pediatrics Physician in Union City, GA
• Providers in Union City, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.