NPIMap

Organization Active NPI

Robert S. Smith MD, Inc

  • Clinical Medical Laboratory
  • Alpharetta, GA
National Provider Identifier
1871075895
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
044-141 Issued in GA
Legal business name
ROBERT S. SMITH MD, INC
Practice address
11390 Old Roswell Rd Ste 100
Alpharetta, GA 30009-2058
Phone
(888) 581-1201
Fax
(866) 240-2442
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Dr. Jeremy Scott Miller, M.D.
Title
Medical Director
Phone
(706) 373-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 044-141 GA Primary

Addresses

Primary practice location

11390 Old Roswell Rd Ste 100
Alpharetta, GA 30009-2058

Mailing address

11390 Old Roswell Rd Ste 100
Alpharetta, GA 30009-2058
Phone (888) 581-1201

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0645901Robert S Smith MD Inc Dba Vizia Diagnostic11390 Old Roswell Road, Suite 100, Alpharetta, GA 30009AccreditationMar 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Robert S Smith MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11390 Old Roswell Rd
Ste 100
Alpharetta, GA 30009
Phone (678) 708-4769

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1871075895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11390 OLD ROSWELL RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092058",
            "telephone_number": "888-581-1201",
            "fax_number": "866-240-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11390 OLD ROSWELL RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092058",
            "telephone_number": "888-581-1201",
            "fax_number": "866-240-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. SMITH MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-373-1772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "044-141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.