| Joshua Poppell Smith, | |
|
24 Glendale Ave, Baxley, GA 31513-0244 | |
| (912) 293-5322 | |
| Not Available |
| Full Name | Joshua Poppell Smith |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 24 Glendale Ave, Baxley, 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 |
|---|---|---|---|
| 1649485160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 067997 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Greeneville Community Hospital | Greeneville, TN | Hospital |
| Johnson County Community Hospital | Mountain city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Blue Ridge Radiology Pc | 7416860473 | 70 |
| Blue Ridge Radiology Pc | 7416860473 | 70 |
| Blue Ridge Radiology Pc | 7416860473 | 70 |
| Orthoarkansas Pa | 1456256031 | 136 |
| Entity Name | South Georgia Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Entity Name | Blue Ridge Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881687689 PECOS PAC ID: 7416860473 Enrollment ID: O20240416002487 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Poppell Smith, Po Box 750, Baxley, GA 31515-0750 Ph: () - | Joshua Poppell Smith, 24 Glendale Ave, Baxley, GA 31513-0244 Ph: (912) 293-5322 |
Dr. Richard George Eickler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 44 N Main St, Baxley, GA 31515 Phone: 912-705-7472 |