MR. JESSE SMITH (NPI# 1770942732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770942732 |
| Entity Type | Individual |
| Full Name | MR. JESSE SMITH |
| Credential | NP |
| Practice Address |
1061 Dowdy Rd Suite 101 Athens GA 30606-5700 |
| Practice Telephone | 6783506109 |
| Mailing Telephone | 6783506109 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
206927 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790037828 | Jesse Garland Smith | Physician Assistant | 1533 Koch Ln, San Jose, CA 95125-4852 | 2012-10-13 |
| 1881821049 | Jesse Smith | Marriage & Family Therapist | 2288 Autumn Fire Ct, Las Vegas, NV 89117-8956 | 2009-06-15 |
| 1780838268 | Jesse Sawyer Smith | Occupational Therapist | 47 Old Post Rd N, Red Hook, NY 12571-2261 | 2008-11-10 |
| 1013091859 | Jesse C. Smith Jr. | Physical Therapist | 106a Woodland Dr, Lancaster, SC 29720 | 2006-10-25 |
| 1144845140 | Jesse Gerald Smith IIi | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-06-15 |
| 1972162063 | Jesse Marie Smith | Speech-Language Pathologist | 235 E 9th Ave, Anchorage, AK 99501-7501 | 2019-06-12 |
| 1144799628 | Jesse J Smith | Peer Specialist | 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 | 2018-11-14 |
| 1174099170 | Jesse Enoch Smith | Nurse Practitioner | 182 16th St, Burlington, CO 80807-1649 | 2018-10-17 |
| 1508358177 | Jesse Smith | Dentist | 441 Marshall Dr, Saint Robert, MO 65584 | 2018-05-30 |
| 1508391236 | Jesse Kyle Smith | Psychiatry & Neurology | 920 Stanton L Young Blvd, G. Rainey Williams Pavillion 3rd Floor, Oklahoma City, OK 73104-5036 | 2017-05-01 |
| Street Address |
1061 DOWDY RD SUITE 101 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003854738 | Brent Alan Beaird | Emergency Medicine | 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 | 2006-06-03 |
| 1083104350 | Lawrence Michael Bruner Jr. | Nurse Practitioner | 1061 Dowdy Rd, Athens, GA 30606 | 2018-05-12 |
| 1639683790 | Scott Harpold | Nurse Practitioner | 1061 Dowdy Rd, Athens, GA 30606-5700 | 2017-11-28 |
| 1295105492 | Pusparani Panda | Nurse Practitioner | 1061 Dowdy Rd, Suite 101, Athens, GA 30606-5700 | 2015-09-30 |
| 1902288939 | Kellie Casey | Nurse Practitioner | 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 | 2015-06-25 |
| 1407238405 | Epps Bridge Pediatrics, LLC | Pediatrics | 1061 Dowdy Rd, 202, Athens, GA 30606-5700 | 2015-06-25 |
| 1982093902 | Donna Jean Mathis | Physician Assistant | 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 | 2015-01-14 |
| 1245655281 | Audiology Rehabilitation Services | Hearing Aid Equipment | 1061 Dowdy Rd, Suite 204, Athens, GA 30606-5700 | 2014-02-27 |
| 1568705135 | Malini Kancharla Reddy | Internal Medicine | 1061 Dowdy Rd, Ste 100, Athens, GA 30606 | 2013-04-02 |
| 1629331707 | Blair Leigh White | Physician Assistant | 1061 Dowdy Rd, Suite 100 and 101, Athens, GA 30606-5700 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770065815 | Herbert Roswell Colcord | Nurse Practitioner | 3015 Lexington Rd, Athens, GA 30605-2491 | 2018-09-05 |
| 1043609670 | Anne Tate Wilson | Nurse Practitioner | 101 Fitness Way, Suite 1200, Athens, AL 35611-2480 | 2015-01-20 |
| 1750625620 | Sarah Pair | Nurse Practitioner | 345 N Harris St, Athens, GA 30601 | 2012-11-16 |
| 1487780342 | Kimberly Callaway Pittman | Nurse Practitioner | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
| 1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
| 1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
| 1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
| 1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
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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.