James T Small III, RN/RT(R)

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN239598 Issued in GA

Practice address

1 Woodbine Ave NW
Rome, GA 30165-2397

Phone

(706) 314-0019

Fax

(706) 314-0343

NPI assigned

Mar 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1851784748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459B KRAFTSMAN RD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301657943",
            "telephone_number": "601-498-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOODBINE AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652397",
            "telephone_number": "706-314-0019",
            "fax_number": "706-314-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "JAMES",
        "middle_name": "T",
        "name_suffix": "III",
        "credential": "RN/RT(R)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN239598",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MS",
            "license": "ARRT436685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Skinner, OTR/L
• Michael Skinner, DO
• Robbie Leah Skinner, NP-C
• Kipp Slicker, DO
• Brittany Sloan
• John Small
• Nicole Smith-Ludvik, RBT
• Alicia Louise Smith, CPNP
• Demetrias Racquel Smith, RN
• Elizabeth Anne Smith, M.D

• Registered Nurse in Rome, GA
• Providers in Rome, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.