SMITH RURAL HEALTH CLINIC (NPI# 1285637728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285637728 |
| Entity Type | Organization |
| Organization Name | SMITH RURAL HEALTH CLINIC |
| Practice Address |
114 S Jefferson St Swainsboro GA 30401-3146 |
| Mailing Address |
Po Box 160 Swainsboro GA 30401-0160 |
| Practice Telephone | 4782377517 |
| Practice Fax Number | 4782374299 |
| Mailing Telephone | 4782377517 |
| Mailing Fax Number | 4782374299 |
| Enumeration Date | 2005-05-29 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | MRS. DEBORAH S WILLIAMSON (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 4782377517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
113829 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| A HOWARD UNITED HLTHCARE | 924053 | 01 | |
| GA | 00469664G | 05 | |
| H WILDER SMITH JR PAC NPI | 1023012580 | 01 | |
| MASON W SMITH PAC NPI | 1588662506 | 01 | |
| GA | 000241689A | 05 | |
| GA | GA LISCENSE/AHOWARD | 034616 | 01 |
| SRHC UNITED HLTHCARE | 26760 | 01 | |
| GA | AMERIGROUP GA | 10047395 | 01 |
| GA | AGROUP/A HOWARD | 10054020 | 01 |
| MCAREPARTB/AHOWARD | 11BDVCZ | 01 | |
| BCBSGA/A HOWARD | 1225102908 | 01 | |
| GA | WELLCARE GEORGIA | 336040 | 01 |
| HOWARD MD NPI | 1225102908 | 01 |
| Street Address |
114 S JEFFERSON ST |
| City | SWAINSBORO |
| State | GA |
| Zip Code | 30401-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437676277 | Jeniece L Cromartie | Nurse Practitioner | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2017-08-23 |
| 1932531258 | Emanuel County Hospital Authority | Clinic/Center | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2013-08-09 |
| 1588662506 | Mason Williams Smith | Pharmacist | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2005-07-13 |
| 1023012580 | Henry Wilder Smith, Jr | Physician Assistant | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114589595 | Mandi Marion Wright | Nurse Practitioner | 117 Kight Road, Swainsboro, GA 30401 | 2019-07-05 |
| 1043767544 | Kathy Flakes | Licensed Practical Nurse | 223 N Anderson Drive, Swainsboro, GA 30401 | 2016-09-01 |
| 1023326220 | Family Podiatry Center PC | Podiatrist | 125a Victory Dr, Swainsboro, GA 30401 | 2010-09-22 |
| 1548578123 | United Rehab Inc | Clinic/Center | 856 U S Highway 1 South, Swainsboro, GA 30401 | 2010-09-17 |
| 1386967305 | William Donald Wages Jr. | Physical Therapy Assistant | 114 Victory Drive, Swainsboro, GA 30401 | 2010-03-04 |
| 1487989885 | Jimmy H Maddox | Nurse Practitioner | 117 Kite Road, Swainsboro, GA 30401 | 2009-10-02 |
| 1649319997 | Swainsboro Healthcare PC | Family Medicine | 305 Kite Road, Swainsboro, GA 30401 | 2007-02-05 |
| 1922153543 | Joyce Dianne Spence | Registered Nurse | 223 Anderson Dr N, Swainsboro, GA 30401 | 2007-01-24 |
| 1942355565 | Lucille Sapp | Registered Nurse | 223 N. Anderson Drive, Swainsboro, GA 30401 | 2007-01-24 |
| 1366592388 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 1007 Highway 56 South, Swainsboro, GA 30401 | 2007-01-11 |
| Find all providers in zip 30401 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1437577350 | Emanuel County Hospital Authority | Clinic/Center | 305 Kite Rd, Swainsboro, GA 30401-5771 | 2014-03-29 |
| 1538586243 | Emanuel County Hospital Authority | Clinic/Center | 124 Victory Dr, Swainsboro, GA 30401-3235 | 2014-03-20 |
| 1932531258 | Emanuel County Hospital Authority | Clinic/Center | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| 1720227895 | The Baxley and Appling County Hospital Authority | Clinic/Center | 105 E Tollison St, Suite D, Baxley, GA 31513-0149 | 2009-02-13 |
| Find all providers with the same taxonomy | ||||
| City | SWAINSBORO |
| Zip Code | 30401 |
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| 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.