| Dr Shannon Janine Smith, MD | |
|
2701 N Decatur Rd, Decatur, GA 30033-5918 | |
| (877) 749-7428 | |
| (512) 628-3314 |
| Full Name | Dr Shannon Janine Smith |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 2701 N Decatur Rd, Decatur, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518153261 | NPI | - | NPPES |
| 003128924G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P0301X | Physical Medicine & Rehabilitation - Brain Injury Medicine | 66325 (Georgia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 66325 (Georgia) | Primary |
| Entity Name | Post-acute Physicians Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316104698 PECOS PAC ID: 4284708751 Enrollment ID: O20080731000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon Janine Smith, MD 1776 Woodstead Ct Ste 208, The Woodlands, TX 77380-1480 Ph: (877) 749-7428 | Dr Shannon Janine Smith, MD 2701 N Decatur Rd, Decatur, GA 30033-5918 Ph: (877) 749-7428 |
Alka Kohli, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Dr. Ralph D'auria, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1452 Church St, Decatur, GA 30030 Phone: 404-378-8002 Fax: 404-378-6226 | |
Kyle Aman, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 450 N Candler St, Decatur, GA 30030 Phone: 404-501-6136 | |
Jeffrey Bradford Eliason, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Pm&r Clinic 117 Atlanta Vamc, Decatur, GA 30033 Phone: 404-321-6111 | |
Amod O Sureka, M.D. Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 2675 N Decatur Rd Ste 110, Decatur, GA 30033 Phone: 770-979-8080 Fax: 770-979-8099 | |
Christopher J Williams, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 877-749-7428 Fax: 512-628-3314 |