Chaundrissa M Smith (NPI# 1922026301, PAC ID# 3870594534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1922026301 |
| PAC ID by PECOS | 3870594534 |
| Professional Enrollment ID | I20070123000379 |
| Full Name | Chaundrissa M Smith |
| Organization Legal Name | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Address |
8011 Mall Pkwy Lithonia GA 30038-2543 |
| Phone Number | 7705279031 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 6204829013 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3495 Piedmont Rd Ne, Building Nine, Atlanta, GA 30305-1736 | 4043647206 | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| 8011 Mall Pkwy, Lithonia, GA 30038-2543 | 7705279031 | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Organization Legal Name | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Physicians | 720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sapna Ashok Patel | Otolaryngology | The Southeast Permanente Medical Group | 2470 Mount Zion Pkwy, Bldg 200, Jonesboro, GA 30236-2500 |
| Gloria Eberechukwu Okoye | Nurse Practitioner | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Joan Mary Gopin | Hospitalist | The Southeast Permanente Medical Group | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 |
| Sandra Nicole Jackson-dent | Family Medicine | The Southeast Permanente Medical Group | 2240 Fountain Dr, Snellville, GA 30078-2919 |
| Emily K Deschler | Ophthalmology | The Southeast Permanente Medical Group | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 |
| Vicki L Yates | Certified Nurse Midwife (cnm) | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Lisa Michaels | Podiatry | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Seema Panduranga Kini | Dermatology | The Southeast Permanente Medical Group | 1435 Broadmoor Blvd, Buford, GA 30518-5408 |
| Modesta Tako | Family Medicine | The Southeast Permanente Medical Group | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 |
| Samir Patel | Internal Medicine | The Southeast Permanente Medical Group | 205 Newnan Crossing Byp, Newnan, GA 30265-1063 |
| Street Address |
8011 MALL PKWY |
| City | LITHONIA |
| State | GA |
| Zip | 30038-2543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Wilson | Family Medicine | The Southeast Permanente Medical Group | 8011 Mall Pkwy, Lithonia, GA 30038-2543 |
| Mariya A Fishman | Diagnostic Radiology | The Southeast Permanente Medical Group | 8011 Mall Pkwy, Lithonia, GA 30038-2543 |
| Marcus C Griffith | Psychiatry | The Southeast Permanente Medical Group | 8011 Mall Pkwy, Lithonia, GA 30038-2543 |
| Dien Nguyen | Family Medicine | The Southeast Permanente Medical Group | 8011 Mall Pkwy, Lithonia, GA 30038-2543 |
| Joan A Harden | Family Medicine | The Southeast Permanente Medical Group | 8011 Mall Pkwy, Lithonia, GA 30038-2543 |
| Michael A Chita | Diagnostic Radiology | The Southeast Permanente Medical Group | 8011 Mall Pkwy, Lithonia, GA 30038-2543 |
| Anita Priya Shankar | Internal Medicine | The Southeast Permanente Medical Group | 8011 Mall Pkwy, Lithonia, GA 30038-2543 |
| Brenda J Carr | Obstetrics/gynecology | The Southeast Permanente Medical Group | 8011 Mall Pkwy, Lithonia, GA 30038-2543 |
| Shantae Mangaroo | Family Medicine | The Southeast Permanente Medical Group | 8011 Mall Pkwy, Lithonia, GA 30038-2543 |
| Miesha N Rhodes | Clinical Social Worker | The Southeast Permanente Medical Group | 8011 Mall Pkwy, Lithonia, GA 30038-2543 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa O Oparah | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Cynthia C Decamp | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Rhonda Tisdale | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Jenean A Gardner Brooks | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Tali Golan | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Deborah A Brewer | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Austin Nosakhare Omwanghe | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 3007 Panola Rd C, Lithonia, GA 30038-2492 |
| Megan Lynn Mccreary | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 3007 Panola Rd C, Lithonia, GA 30038-2492 |
| Kyanna Denee Dixon | Occupational Therapy | Independent Physical Therapy of Georgia, LLC | 3007 Panola Rd C, Lithonia, GA 30038-2492 |
| Thomas Nicholas Vollmar | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 3007 Panola Rd C, Lithonia, GA 30038-2492 |
| Find all physicians in zip 30038 | |||
| City | LITHONIA |
| Zip Code | 30038 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LITHONIA + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Chaundrissa M Smith.
| 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.