| Dr Don T Smith Jr, MD | |
|
415 E 4th Ave Ste B, Cordele, GA 31015-0614 | |
| (229) 391-2910 | |
| (229) 386-4770 |
| Full Name | Dr Don T Smith Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 30 Years |
| Location | 415 E 4th Ave Ste B, Cordele, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053329268 | NPI | - | NPPES |
| 000882 | Other | GA | BLUE CROSS PROVIDER # |
| 000825866D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 042122 (Georgia) | Secondary |
| 207L00000X | Anesthesiology | 042122 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centers For Pain Management Of Georgia Llc | 1850544289 | 2 |
| Entity Name | Centers For Pain Management Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659615540 PECOS PAC ID: 1850544289 Enrollment ID: O20130114000344 |
| Entity Name | Surgery Center At Cypress Point Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1245767672 PECOS PAC ID: 1557624087 Enrollment ID: O20180417000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Don T Smith Jr, MD Po Box 7083, Tifton, GA 31793-7083 Ph: (229) 391-2910 | Dr Don T Smith Jr, MD 415 E 4th Ave Ste B, Cordele, GA 31015-0614 Ph: (229) 391-2910 |
Jack Bradley Royal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 902 N 7th St, Cordele, GA 31015 Phone: 229-276-3100 | |
Dr. Marion O Lee Jr., MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 910 N 5th St, Suite D, Cordele, GA 31015 Phone: 229-391-2910 Fax: 229-386-4770 |