| Daniel J Smith, NP | |
|
747 S Hill St, Griffin, GA 30224-4830 | |
| (770) 228-5407 | |
| (770) 227-1430 |
| Full Name | Daniel J Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 747 S Hill St, Griffin, 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 |
|---|---|---|---|
| 1265491294 | NPI | - | NPPES |
| P00426911 | Other | RAILROAD MEDICARE | |
| 00077466G | Medicaid | GA | |
| P00428789 | Other | GA | RAILROAD MEDICARE |
| 000777466F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | RN113417 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN113417 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital And Manor | Bainbridge, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Emergency Medical Services Llc | 3779701743 | 26 |
| Southland - Lakeland Medical Services, Llc | 5890947980 | 7 |
| Southland Bainbridge Hospitalist Group, Llc | 7214248335 | 47 |
| Southland-nashville Emergency Services, Llc. | 9133390214 | 7 |
| Entity Name | Inphynet Primary Care Physicians Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770521460 PECOS PAC ID: 3779497045 Enrollment ID: O20031119000600 |
| Entity Name | Phoebe Putney Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Phoebe Sumter Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609001312 PECOS PAC ID: 4385789213 Enrollment ID: O20110324000491 |
| Entity Name | Southland-nashville Emergency Services, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639467038 PECOS PAC ID: 9133390214 Enrollment ID: O20110921000500 |
| Entity Name | Southland - Lakeland Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821341397 PECOS PAC ID: 5890947980 Enrollment ID: O20121219000267 |
| Entity Name | Southland Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477701472 PECOS PAC ID: 3779701743 Enrollment ID: O20140904001715 |
| Entity Name | Southland Bainbridge Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
| Entity Name | Southland Consolidated Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
| Entity Name | Southland Behavioral Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619505765 PECOS PAC ID: 8224469085 Enrollment ID: O20200511002208 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Smith, NP 592 Watson Rd, Forsyth, GA 31029-3503 Ph: (770) 714-6056 | Daniel J Smith, NP 747 S Hill St, Griffin, GA 30224-4830 Ph: (770) 228-5407 |
Angela Parker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 Carver Rd, Griffin, GA 30224 Phone: 770-227-9222 | |
Kaley Prather, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 619 S 8th St Suite 200, Griffin, GA 30224 Phone: 770-227-1587 Fax: 770-227-1485 | |
Deborah Prather, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 N Expressway, Griffin, GA 30223 Phone: 943-202-7790 Fax: 470-986-7152 | |
Dominique L Bailey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 604a S 8th St, Griffin, GA 30224 Phone: 770-227-1999 | |
Alicia Skye Ledford, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 619 S 8th St., Suite 200, Griffin, GA 30224 Phone: 770-227-1587 | |
Minh Ngoc Ly Barnett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 S 8th St, Griffin, GA 30224 Phone: 770-228-2721 | |
Ms. Stephanie Collier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Carver Rd, Griffin, GA 30224 Phone: 770-227-9222 Fax: 678-688-3891 |