DEBRA SMOTHERS (NPI# 1790140853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790140853 |
| Entity Type | Individual |
| Full Name | DEBRA SMOTHERS |
| Credential | CNIM |
| Practice Address |
2855 Julias Way Nw Marietta GA 30064-6219 |
| Mailing Address |
Po Box 986 Acworth GA 30101-0986 |
| Practice Telephone | 6785954611 |
| Practice Fax Number | 3039224640 |
| Mailing Telephone | 6785954611 |
| Mailing Fax Number | 3039224640 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2855 JULIAS WAY NW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881928646 | Neurodiagnostic Consultants, LLC | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2009-09-28 |
| 1518598945 | Cameron Christopher Adam Smothers | Psychiatry & Neurology | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2020-02-04 |
| 1235796319 | Brian Joseph Wilehlm | Clinical Neuropsychologist | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2019-05-23 |
| 1669997276 | Johnathan Charles Roberts | Specialist/Technologist | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2017-08-04 |
| 1023566007 | Benton Stoutamire | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2016-09-19 |
| 1891150611 | Philip Smothers | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2015-12-21 |
| 1558726372 | Timothy Sharpe | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2015-12-21 |
| 1497110316 | Tommy Zaino | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2015-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114370756 | James Rhea Booker | Specialist/Technologist, Other | 2378 Riderwood Ct Ne, Marietta, GA 30062-4689 | 2016-07-19 |
| 1437556081 | Neuro-surgical Resources, LLC | Specialist/Technologist, Other | 2378 Riderwood Ct, Marietta, GA 30062-4689 | 2014-11-25 |
| 1881928646 | Neurodiagnostic Consultants, LLC | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2009-09-28 |
| 1023566007 | Benton Stoutamire | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2016-09-19 |
| 1891150611 | Philip Smothers | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2015-12-21 |
| 1558726372 | Timothy Sharpe | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2015-12-21 |
| 1497110316 | Tommy Zaino | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2015-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509940 | Sheth Consultants, LLC | Specialist/Technologist, Other | 403 W Ponce De Leon Ave Ste 206, Decatur, GA 30030-2421 | 2020-02-05 |
| 1427696384 | Candis Julie Spivey | Specialist/Technologist, Other | 923 Irwin Rd, Tennille, GA 31089-3861 | 2019-12-11 |
| 1841847274 | John Douglas Redmond | Specialist/Technologist, Other | 7338 Eagle Ct, Midland, GA 31820-4334 | 2019-08-21 |
| 1295382943 | Kimberly Cara Sampson | Specialist/Technologist, Other | 201 Dailey Hill Cir, Ringgold, GA 30736-8157 | 2019-08-19 |
| 1386208254 | Sunwana Walker | Specialist/Technologist, Other | 515 Fairhope St, Augusta, GA 30901-1913 | 2019-04-26 |
| 1053899377 | Johnny Ramos | Specialist/Technologist, Other | 402 Rosewater Dr, Warner Robins, GA 31088-8688 | 2018-07-30 |
| 1821508227 | Molly Brake | Specialist/Technologist, Other | 3535 Peachtree Rd Ne Ste 520-637, Atlanta, GA 30326-3287 | 2017-10-11 |
| 1639608516 | University Neuro, LLC | Specialist/Technologist, Other | 925b Peachtree St Ne Ste 710, Atlanta, GA 30309-3918 | 2017-06-05 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1407399793 | Megan Keeton | Specialist/Technologist, Other | 446 Dwarf Grass Ct, Lawrenceville, GA 30045-8185 | 2016-11-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEBRA SMOTHERS.
| 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.