Active NPI
Mary Beth Smarra, PA-C
- Surgical Physician Assistant
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 7797
- Practice address
- 605 N Westover Blvd
Albany, GA 31707-2188 - Phone
- (520) 625-6600
- Fax
- (520) 625-8467
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA003457L | PA | |
| Medical Physician Assistant | 363AM0700X | 3714 | AZ | |
| Surgical Physician Assistant | 363AS0400X | 7797 | GA | Primary |
Addresses
Primary practice location
605 N Westover Blvd
Albany, GA 31707-2188
Mailing address
605 N Westover Blvd
Albany, GA 31707-2188
Phone (520) 625-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2311 Lake Park Dr
Albany, GA 31707-3183
Phone (229) 435-0525
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3714 | AZ | MD | Psychologist |
| 7797 | GA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain Institute LLC | Current | Accepting new patients | |
| Arizona Oncology Associates PC | Past | Accepting new patients |
Locations
2311 Lake Park Dr
#4
Albany, GA 31707
Phone (229) 317-0742
2311 Lake Park Dr
Ste 4
Albany, GA 31707
Phone (229) 317-0742
2311 Lake Park Dr
Albany, GA 31707
Phone (229) 435-0525
Organizations & group practices 4
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.
-
dba Musculoskeletal Associates
- Orthopaedic Surgery Physician
- Albany, GA
- NPI 1346210705
-
- Surgery Physician
- Albany, GA
- NPI 1023005675
-
- Interventional Pain Medicine Physician
- Albany, GA
- NPI 1568003481
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1962472506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 N WESTOVER BLVD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072188",
"telephone_number": "520-625-6600",
"fax_number": "520-625-8467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 N WESTOVER BLVD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072188",
"telephone_number": "520-625-6600",
"fax_number": "520-625-8467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMARRA",
"first_name": "MARY BETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA003457L",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3714",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "7797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.