| Dr Emma Alexandra Smith, | |
|
997 Woodbury Rd, Canton, GA 30114-4511 | |
| (678) 787-2611 | |
| Not Available |
| Full Name | Dr Emma Alexandra Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 997 Woodbury Rd, Canton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376122465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN262690 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | GAA-CRNA001474 (Georgia) | Primary |
| Entity Name | Sleep Ezzy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154852820 PECOS PAC ID: 4486920295 Enrollment ID: O20171023003067 |
| Entity Name | Dpi Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407323199 PECOS PAC ID: 0941546923 Enrollment ID: O20190111001990 |
| Entity Name | Piedmont Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emma Alexandra Smith, 997 Woodbury Rd, Canton, GA 30114-4511 Ph: (678) 787-2611 | Dr Emma Alexandra Smith, 997 Woodbury Rd, Canton, GA 30114-4511 Ph: (678) 787-2611 |
Morgan Maeger, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1032 Forest Creek Dr, Canton, GA 30115 Phone: 770-367-3955 | |
Brent H. Suddeth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 | |
Khushbu Modi, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 276 Harmony Lake Dr, Canton, GA 30115 Phone: 404-488-5590 | |
Carla D Porche, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 | |
James Michael Rutherford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 770-720-4508 | |
Marni Elizabeth Daniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 770-720-4508 | |
Kimberle J Hickey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Anesthesia Department, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 |