Mathew James Smith Sr., L.P.N , CPS

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN059437 Issued in GA

Practice address

9390 Ford Ave Ste 8
Richmond Hill, GA 31324-6420

Phone

(912) 756-4713

NPI assigned

Mar 3, 2008

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1902076235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4286 HARPER RD",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304396122",
            "telephone_number": "912-663-0733",
            "fax_number": "912-303-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 FORD AVE STE 8",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246420",
            "telephone_number": "912-756-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATHEW",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "L.P.N , CPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN059437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Yvonne Smith, LPN
• Heather Rutledge Smith, M.C.D. CCC-SLP
• Jonae Smith
• Joseph Smith
• Kaitlyn Smith
• Spencer Smith, DMD
• Adrienne Nicole Lowerts Sokolowski, PHARMD
• Sarah Solinger, PHD, ND, MSC
• Alexa L Sondles
• Peyton Sorrell

• Licensed Practical Nurse in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.