Jimmy Smith (NPI# 1790112175, PAC ID# 2860767753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1790112175 |
| PAC ID by PECOS | 2860767753 |
| Professional Enrollment ID | I20171003004895 |
| Full Name | Jimmy Smith |
| Organization Legal Name | EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA INC |
| Address |
100 Loop St Clinton NC 28328-4062 |
| Phone Number | 9198658780 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7618161407 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Loop St, Clinton, NC 28328-4062 | 9198658780 | EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA INC |
| 33 Darlington Ave, Wilmington, NC 28403-1343 | 9198658780 | EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA INC |
| Organization Legal Name | EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Bright | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 913 N Carolina Ave, Statesville, NC 28677-3414 |
| Alison R Voyer | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 33 Darlington Ave, Wilmington, NC 28403-1343 |
| Jozef Zelenak | Psychiatry | Easter Seals Ucp North Carolina and Virginia Inc | 100 Loop St, Clinton, NC 28328-4062 |
| Deborah K Martin | Physician Assistant | Easter Seals Ucp North Carolina and Virginia Inc | 414 W Lebanon St, Mount Airy, NC 27030-2954 |
| Veronica J Guettler | Nurse Practitioner | Easter Seals Ucp North Carolina and Virginia Inc | 100 Loop St, Clinton, NC 28328-4062 |
| Darlene E Griffith | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 913 N Carolina Ave, Statesville, NC 28677-3414 |
| Marisha Mathis | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 33 Darlington Ave, Wilmington, NC 28403-1343 |
| Mandy Wilson Gravitte | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 414 W Lebanon St, Mount Airy, NC 27030-2954 |
| Terra C Caudill | Psychiatry | Easter Seals Ucp North Carolina and Virginia Inc | 100 Loop St, Clinton, NC 28328-4062 |
| Crystal A Dillard | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 33 Darlington Ave, Wilmington, NC 28403-1343 |
| Street Address |
100 LOOP ST |
| City | CLINTON |
| State | NC |
| Zip | 28328-4062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jozef Zelenak | Psychiatry | Easter Seals Ucp North Carolina and Virginia Inc | 100 Loop St, Clinton, NC 28328-4062 |
| Veronica J Guettler | Nurse Practitioner | Easter Seals Ucp North Carolina and Virginia Inc | 100 Loop St, Clinton, NC 28328-4062 |
| Terra C Caudill | Psychiatry | Easter Seals Ucp North Carolina and Virginia Inc | 100 Loop St, Clinton, NC 28328-4062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Hoyle | Physical Therapy | Activcare Physical Therapy, LLC | 317 N Blvd, Clinton, NC 28328-1911 |
| Whitney N Huryta | Physical Therapy | Activcare Physical Therapy, LLC | 317 N Blvd, Clinton, NC 28328-1911 |
| Scott Werner | Physical Therapy | Activcare Physical Therapy, LLC | 317 N Blvd, Clinton, NC 28328-1911 |
| Adam M Sutphin | Physical Therapy | Activcare Physical Therapy, LLC | 317 N Blvd, Clinton, NC 28328-1911 |
| Aaron Bullard | Physical Therapy | Activcare Physical Therapy, LLC | 317 N Blvd, Clinton, NC 28328-1911 |
| Lavonda F Woods | Physical Therapy | Advanced Physical Therapy of Smithfield LLC | 317 N Blvd, Clinton, NC 28328-1911 |
| Sharry Malpass | Nurse Practitioner | Clinton Medical Clinic, Inc. | 403 Fairview St, Clinton, NC 28328-2311 |
| Carrie Lynn Green | Physician Assistant | Clinton Medical Clinic, Inc. | 403 Fairview St, Clinton, NC 28328-2311 |
| Ted A Bauman | Family Medicine | Clinton Medical Clinic, Inc. | 403 Fairview St, Clinton, NC 28328-2311 |
| John R Rice | Internal Medicine | Clinton Medical Clinic, Inc. | 403 Fairview St, Clinton, NC 28328-2311 |
| Find all physicians in zip 28328 | |||
| City | CLINTON |
| Zip Code | 28328 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CLINTON + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.