Sarah P Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005722 Issued in GA

Practice address

1539 Old Valdosta Rd
Ray City, GA 31645-7132

Phone

(877) 755-2212

NPI assigned

Mar 28, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Saint Joseph'S Mercy Care Services Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1588663421
  Medicare reassignment NPD
• Saint Joseph'S Mercy Care Services Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1831266618
  NPD
• Medical Wellness Center of Georgia, LLC

  • Family Medicine Physician
  • Ray City, GA
  • NPI 1972003879
  NPD (past)

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1962907121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 JOSEPH E BOONE BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303142032",
            "telephone_number": "678-843-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 OLD VALDOSTA RD",
            "city": "RAY CITY",
            "state": "GA",
            "postal_code": "316457132",
            "telephone_number": "877-755-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARAH",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Wellness Center of Georgia, LLC
• Wendy C Pearson, ARNP
• Erin Harrell Ray, LCSW
• Lynn Roberts
• Miranda Moneke Robinson
• Southern Nutrition and Wellness

• Clinical Social Worker in Ray City, GA
• Providers in Ray City, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.