CICELY PATRICE DOWDELL-SMITH (NPI# 1881828713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881828713 |
| Entity Type | Individual |
| Full Name | CICELY PATRICE DOWDELL-SMITH |
| Credential | MD |
| Practice Address |
3747 Roswell Rd Ste 201 Marietta GA 30062 |
| Mailing Address |
805 Sandy Plains Road Medical Staff Services Marietta GA 30066-6340 |
| Practice Telephone | 7705782868 |
| Practice Fax Number | 7709718499 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | P6607 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
82169 | GA | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
2009-00602 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC MEDICAL BOARD | 2009-00602 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6701 Fannin St, Houston, TX 770302608 | 8328241000 |
| Street Address |
3747 ROSWELL RD STE 201 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871588277 | David J Riden | Urology | 3747 Roswell Rd Ste 201, Marietta, GA 30062 | 2005-09-13 |
| 1700088929 | Paul Michael Zmaj | Urology | 3747 Roswell Rd Ste 201, Marietta, GA 30062 | 2007-06-01 |
| 1942345442 | Beena R Parbhu | Pediatrics | 3747 Roswell Rd Ste 201, Marietta, GA 30062-6227 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376998096 | Coga Health | Psychiatry & Neurology | 139 Altama Connector, Pmb 316, Brunswick, GA 31525-1888 | 2016-05-02 |
| 1376961565 | Anna Wilson Bunker | Psychiatry & Neurology | 1086 1/2 Baxter St Ste A, Athens, GA 30606-6316 | 2014-04-03 |
| 1386819381 | Kohilavani Velayudam | Psychiatry & Neurology | 761 Walther Road, Suite 100, Lawrenceville, GA 30046 | 2008-04-30 |
| 1952575763 | Pierre Richard Fequiere | Psychiatry & Neurology | 705 17th St Ste 106, Columbus, GA 31901 | 2008-04-14 |
| 1609921881 | Asma Qureshi Fischer | Psychiatry & Neurology | 460 North Belair Rd, Evans, GA 30801 | 2007-01-25 |
| 1407910607 | South Georgia Neurological Associates, P.C. | Psychiatry & Neurology | 907 18th St E Ste 190, Tifton, GA 31794-3600 | 2006-12-21 |
| 1093884355 | Aijaz A Khalid | Psychiatry & Neurology | 170 Camden Hill Rd Ste A, Lawrenceville, GA 30045-7418 | 2006-11-08 |
| 1912978065 | Enrique J. Fernandez | Psychiatry & Neurology | 3226-c Hampton Avenue, Brunswick, GA 31520-4254 | 2006-01-27 |
| 1932768389 | Uloma Chinyere Ibezim | Psychiatry & Neurology | 1446 Harper St, Augusta, GA 30912-0012 | 2019-06-10 |
| 1841677010 | Michelle Tutmaher | Psychiatry & Neurology | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2015-04-27 |
| 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.