Brenda Martin Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3536 Dixie Union Rd
Waycross, GA 31503-4227

Phone

(912) 288-5834

Fax

(912) 600-1961

NPI assigned

Aug 10, 2021

Last updated

Aug 10, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1972278208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 DIXIE UNION RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315034227",
            "telephone_number": "912-288-5834",
            "fax_number": "912-600-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 DIXIE UNION RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315034227",
            "telephone_number": "912-288-5834",
            "fax_number": "912-600-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENDA",
        "middle_name": "MARTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BCW",
            "affiliation": "N",
            "endpointDescription": "internet based",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3536 Dixie Union Rd",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315034227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Marie Simmons, M.ED., CCC-SLP
• Pushpa Singh, NP-C
• Sistar Eyecare Associates
• Catherine Skinner
• Amanda S Smith, PA
• James Matthew Smith Jr., DMD
• Keri Smith, MED, CCC-SLP
• Laura Smith, LMSW
• Sabrina Music Smith, CCC-SLP
• Steven Austin Smith, PHARMD

• Case Manager/Care Coordinator in Waycross, GA
• Providers in Waycross, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.