JIMSON OKON SMITH


Address: 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831
Phone: 7708745400

JIMSON OKON SMITH (NPI# 1689820961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689820961
Entity Type Individual
Full Name JIMSON OKON SMITH
Credential M.D.
Practice Address 5665 New Northside Dr Nw
Suite 320
Atlanta
GA 30328-5831
Mailing Address 2106 Marshalls Ln Se
Atlanta
GA 30316-2825
Practice Telephone 7708745400
Mailing Telephone 4042437798
Enumeration Date 2008-08-18
Last Update Date 2009-08-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 125049825 IL Allopathic & Osteopathic Physicians
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
062289 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 5665 NEW NORTHSIDE DR NW
SUITE 320
City ATLANTA
State GA
Zip Code 30328-5831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649246570 Desiree La Charite Emergency Medicine 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 2006-02-28
1174966881 Lone Star Physician Services, Pllc Anesthesiology 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 2013-04-11
1477891554 Kathryn Elizabeth Barbato Nurse Anesthetist, Certified Registered 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 2013-01-23
1689924839 Timothy A. Bryan Sr. Physician Assistant 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 2012-09-14
1245516459 Gregory Symenow Physician Assistant 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 2011-11-01
1053617571 Ronald B. Tanaka Emergency Medicine 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 2011-01-31
1184932303 Lindsey Nicole Ong Anesthesiologist Assistant 5665 New Northside Dr Nw, Ste 320, Atlanta, GA 30328-5831 2010-09-22
1548584055 Christopher Michael Dawson Nurse Practitioner 5665 New Northside Dr Nw, Suite 300, Atlanta, GA 30328-5831 2010-03-26
1487896288 Pranav Jitendra Desai Emergency Medicine 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 2009-03-26
1508031873 Shalabh Sheel Bansal Pediatrics 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 2008-04-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467910042 Amber Andrews Behavior Technician 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 2019-03-04
1215492830 Ryan William Dubinin Behavior Technician 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 2019-02-07
1346710142 Emily Rose Lloyd Swavely Speech-Language Pathologist 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 2018-12-05
1063994481 Mark Edward Brachmanski Optometrist 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 2018-09-01
1407352578 Nina Brown Massage Therapist 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 2018-04-05
1336657741 Renee Usher Reeves Assistant Behavior Analyst 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 2018-01-19
1487168274 Patricia Nicole Felder Student in an Organized Health Care Education/Training Program 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 2017-12-01
1447762927 Ponders Podiatry LLC Podiatrist 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 2017-10-24
1770093601 Syed M Rasheed Physician Assistant 5788 Roswell Rd Ste 100, Atlanta, GA 30328 2017-10-05
1437678190 Jeanette Denise Jones Counselor 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 2017-09-13
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346411667 Harvey E Schuck Emergency Medicine 427 Brentwood Dr Ne, Atlanta, GA 30305-3204 2008-03-14
1639364011 Srihari Rao Malempati Emergency Medicine 535 Trimble Lake Ct Ne, Atlanta, GA 30342-2481 2007-09-10
1487729992 Lisa Tadayon Emergency Medicine 1000 John Fy Rd Ne, Atlanta, GA 30342-1606 2006-11-21
1598851636 Model N/a Neway Emergency Medicine 3112 Pine Heights Dr Ne, Atlanta, GA 30324-2843 2006-10-05
1154439586 Barbara D Nichols Emergency Medicine 1968 Peachtree Rd. Northeast, Atlanta, GA 30309 2006-08-27
1164480869 Emerginet, LLC Emergency Medicine 235 Peachtree St Ne, North Tower, Suite 2100, Atlanta, GA 30303-1401 2006-05-02
1972154722 Nichelle Jackson Emergency Medicine 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 2019-09-24
1336564236 James Patrick O'neal Emergency Medicine 2 Peachtree St Nw Fl 15, Suite 15-433, Atlanta, GA 30303-3142 2014-02-28
1427353861 Suwanee Physicians, LLC Emergency Medicine 2151 Peachford Rd, Hospitalist Service, Atlanta, GA 30338-6534 2011-01-16
1972777209 Piedmont Minor Emergency Clinic PC Emergency Medicine 3108 Piedmont Rd Ne, Atlanta, GA 30305-2513 2008-04-17
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Competitor

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City ATLANTA
Zip Code 30328

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Dataset Information

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.

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