JOHN DARRELL SMITH (NPI# 1023054806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023054806 |
| Entity Type | Individual |
| Full Name | JOHN DARRELL SMITH |
| Credential | MD |
| Practice Address |
350 Country Club Dr Ste A Stockbridge GA 30281-9084 |
| Practice Telephone | 7706924000 |
| Mailing Telephone | 7706924000 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036012 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036012 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00508626B | 05 | |
| GA | 00508626C | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Upper Riverdale Rd, Sw, Riverdale, GA 302742615 | 7709918130 | 7709918630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386035 | John Colin Smith | Physical Therapy Assistant | 416 N Main St Ste I, Cave City, AR 72521-9008 | 2020-11-03 |
| 1104392034 | John Seth Smith | Behavioral Analyst | 1002 S Vienna St, Ruston, LA 71270-5832 | 2018-10-18 |
| 1316454283 | John Smith | Driver | 339 E Glenwood Ave, Akron, OH 44310-3850 | 2018-01-02 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1952837536 | John Kenny Smith | Counselor | 140d Larkspur Ln, Galax, VA 24333-2305 | 2017-05-03 |
| 1114464435 | John Smith Jr. | Counselor | 390 E Boundary Dr, Spartanburg, SC 29303-3926 | 2017-01-24 |
| 1982152930 | John Smith | Physical Therapist | 412 W Central Ave, Fitzgerald, GA 31750-2442 | 2016-09-20 |
| 1588028518 | John Smith | Counselor | 8888 Finley Rd, Wooster, OH 44691-7563 | 2016-04-06 |
| 1235520602 | John Joseph Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-02-06 |
| 1235545526 | John Charles Smith | Pharmacist | 2666 Riva Rd Ste 110, Annapolis, MD 21401-7351 | 2014-07-08 |
| Street Address |
350 COUNTRY CLUB DR STE A |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-9084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140374 | Karyssa Coston | Internal Medicine | 350 Country Club Dr Ste A, Stockbridge, GA 30281-9084 | 2019-12-04 |
| 1043574049 | Dhruv Chawla | Internal Medicine | 350 Country Club Dr Ste A, Stockbridge, GA 30281-9084 | 2012-06-25 |
| 1780869701 | Akshay Gupta | Internal Medicine | 350 Country Club Dr Ste A, Stockbridge, GA 30281-9084 | 2008-01-09 |
| 1386843852 | Abdulrahman Khalil Doughan | Internal Medicine | 350 Country Club Dr Ste A, Stockbridge, GA 30281-9084 | 2007-07-15 |
| 1245367721 | Srinivasa Rao Chennareddy | Internal Medicine | 350 Country Club Dr Ste A, Stockbridge, GA 30281-9084 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548284516 | Camille D. Nelson | Internal Medicine | 350 Country Club Drive, Suite A, Stockbridge, GA 30281 | 2006-07-26 |
| 1588655997 | Vallikkat T Girija | Internal Medicine | 1500 Rock Quarry Rd, Stockbridge, GA 30281-8925 | 2005-11-03 |
| 1952300279 | Steven Michael Rosenthal | Internal Medicine | 1365 Rock Quarry Rd, Suite 302, Stockbridge, GA 30281-5029 | 2005-07-19 |
| 1124023304 | Gregory Paul Petro | Internal Medicine | 350 Country Club Dr, Suite A, Stockbridge, GA 30281-9084 | 2005-06-15 |
| 1780869701 | Akshay Gupta | Internal Medicine | 350 Country Club Dr Ste A, Stockbridge, GA 30281-9084 | 2008-01-09 |
| 1265624167 | Michael R Rutledge | Internal Medicine | 350 Country Club Dr, Suite A, Stockbridge, GA 30281-9084 | 2007-08-14 |
| 1245367721 | Srinivasa Rao Chennareddy | Internal Medicine | 350 Country Club Dr Ste A, Stockbridge, GA 30281-9084 | 2007-02-28 |
| 1760519557 | Rajasekhar Reddy | Internal Medicine | 350 Country Club Drive, Suite A, Stockbridge, GA 30281 | 2007-02-27 |
| 1376624940 | Piedmont Healthcare Inc | Internal Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2006-10-18 |
| 1982645198 | Homayoun S Amin | Internal Medicine | 350 Country Club Dr, Suite A, Stockbridge, GA 30281-9084 | 2006-06-09 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on JOHN DARRELL SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.