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NPI · 1104817014 · NPPES-sourced

Ethel Smith MD

ActiveFamily Medicine
NPI Number
1104817014
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(770) 919-0813
License GA · 31510
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2005-10-31
Primary practice addressGA · 30013
2020 Honey Creek Pkwy SeConyers, GA 30013
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About this NPIWhat this record shows.

NPI 1104817014 is registered to Ethel Smith MD, a Family Medicine practising at 2020 Honey Creek Pkwy Se in Conyers, Georgia. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Ethel Smith MD has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-10-31
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ethel Smith MD accepts. To confirm in-network status with your specific health plan, contact Ethel Smith MD directly at (770) 919-0813.

Frequently asked

Yes. NPI 1104817014 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (770) 919-0813.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ethel Smith MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated2007-07
Enumerated2005-10-31
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Georgia.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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