Martha Smith (NPI# 1194732719, PAC ID# 8527043934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1194732719 |
| PAC ID by PECOS | 8527043934 |
| Professional Enrollment ID | I20040621000999 |
| Full Name | Martha Smith |
| Organization Legal Name | SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC |
| Address |
101 Harris Industrial Blvd Suite A Vidalia GA 30474-8845 |
| Phone Number | 9125388105 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 5991990111 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 104 Fairview Park Dr, Dublin, GA 31021-2500 | 4782751522 | SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC |
| 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 | 9125388105 | SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC |
| Organization Legal Name | SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pate Chester | Nurse Practitioner | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 |
| Albert A Burton | Cardiovascular Disease (cardiology) | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 |
| John Christian Higgins | Cardiovascular Disease (cardiology) | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 |
| Cynthia K Holton | Nurse Practitioner | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 |
| William Burton Epps, Jr Jr. | Cardiovascular Disease (cardiology) | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 |
| Randall Crawford Jr | Nurse Practitioner | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Vidalia, GA 30474-8845 |
| Street Address |
101 HARRIS INDUSTRIAL BLVD SUITE A |
| City | VIDALIA |
| State | GA |
| Zip | 30474-8845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pate Chester | Nurse Practitioner | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 |
| Albert A Burton | Cardiovascular Disease (cardiology) | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 |
| John Christian Higgins | Cardiovascular Disease (cardiology) | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 |
| Cynthia K Holton | Nurse Practitioner | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 |
| William Burton Epps, Jr Jr. | Cardiovascular Disease (cardiology) | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8845 |
| Randall Crawford Jr | Nurse Practitioner | Southeast Regional Cardiac and Vascular Institute, LLC | 101 Harris Industrial Blvd, Vidalia, GA 30474-8845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Casey Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Karen Pamela Mcneely | Nurse Practitioner | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| David H Paine | Internal Medicine | 1006 A Mt Vernon Rd, Vidalia, GA 30474 | |
| Walter J Revell Jr. | General Surgery | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Archie J Champion | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Letty Revell Peterson | Dermatology | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Charles M Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Richard M Proenza | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Paul J Giles | Cardiovascular Disease (cardiology) | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Robert Andrew Bell | Nurse Practitioner | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Find all physicians in zip 30474 | |||
| City | VIDALIA |
| Zip Code | 30474 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | VIDALIA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Martha 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.