JUSTIN R SMITH (NPI# 1376879825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376879825 |
| Entity Type | Individual |
| Full Name | JUSTIN R SMITH |
| Credential | PA-C |
| Practice Address |
605 S Enota Dr Ne Gainesville GA 30501-2437 |
| Practice Telephone | 7705380208 |
| Practice Fax Number | 7705380556 |
| Mailing Telephone | 7705380208 |
| Mailing Fax Number | 7705380556 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005694 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034237 | Justin Bengt Smith | Psychologist | 270 E Highway 246, Buellton, CA 93427-9669 | 2018-12-06 |
| 1851820773 | Justin Michael Smith | Registered Nurse | 333 Smith Ave N # Mr 60229, Saint Paul, MN 55102-2344 | 2017-06-05 |
| 1841678281 | Justin Smith | Specialist/Technologist | 1088 75th St, Amery, WI 54001-5220 | 2015-05-18 |
| 1225450984 | Justin L. Smith | Counselor | 100 E Somerset Church Rd, Somerset, KY 42503-4977 | 2014-01-15 |
| 1154671394 | Justin Smith | Contractor | 2104 Elizabeth Ave, Zion, IL 60099-2731 | 2012-09-14 |
| 1598015828 | Justin Smith | Nurse Practitioner | 1113 Church St, Conway, SC 29526-4128 | 2012-09-13 |
| 1144591306 | Justin Michael Smith | Technician, Other | 1436 S Irving St, Apartment A-321, Denver, CO 80219-3957 | 2012-01-19 |
| 1992005037 | Justin William Smith | Case Manager/Care Coordinator | 1355 E. Main, Batesville, AR 72501 | 2010-10-22 |
| 1497061634 | Justin R Smith | Dentist | 2407 Saint Andrews Blvd, Panama City, FL 32405-2170 | 2010-08-25 |
| 1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
| Street Address |
605 S ENOTA DR NE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437109899 | Lanier Dermatology & Skin Cancer Specialists, PC | Dermatology | 605 S Enota Dr Ne, Gainesville, GA 30501-2437 | 2006-05-10 |
| 1306896931 | Kevin L Smith | Dermatology | 605 S Enota Dr Ne, Gainesville, GA 30501-2437 | 2006-05-12 |
| 1487604021 | Michael B Reynolds | Dermatology | 605 S Enota Dr Ne, Gainesville, GA 30501-2437 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316417181 | Elizabeth H Yun | Physician Assistant | 7500 Iron Bar Ln Ste 215, Gainesville, VA 20155-3612 | 2018-12-04 |
| 1558666784 | Yanira Serralta | Physician Assistant | 4410 W Newberry Rd Ste 3, Gainesville, FL 32607-5200 | 2011-01-19 |
| 1912054578 | David A. Kireta | Physician Assistant | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 | 2007-01-05 |
| 1306911375 | North Florida Neurosurgery | Physician Assistant | 6510 Nw 9th Blvd Ste 1, Gainesville, FL 32605-4245 | 2006-11-22 |
| 1366530610 | Andrew F Roush | Physician Assistant | 200 Academy Street, Gainesville, GA 30501 | 2006-10-11 |
| 1003907445 | William R Wright | Physician Assistant | 4343 W. Newberry Road, Suite 13, Gainesville, FL 32607 | 2006-09-28 |
| 1235237165 | Elizabeth Courtney Wilhem | Physician Assistant | 4741 Nw 8th Ave Ste C, Gainesville, FL 32605-5511 | 2006-09-21 |
| 1265445324 | Joy Steinkraus | Physician Assistant | 743 Spring Street Ne, Gainesville, GEORGIA 30501 | 2006-08-13 |
| 1225053572 | Julie Ann Hopper | Physician Assistant | 2435 Old Cornelia Hwy, Gainesville, GA 30507-7854 | 2006-07-13 |
| 1053346296 | Audrey B Gibson | Physician Assistant | 961 Smoky Mountain Springs Lane Ne, Ste A, Gainesville, GA 30501 | 2006-07-12 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on JUSTIN R 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.