Shannon Davis Smith, DC is a medicare enrolled "Chiropractor" provider in Homerville, Georgia. He went to Life Chiropractic College - West and graduated in 1995 and has 29 years of diverse experience with area of expertise as Chiropractic. His current practice location is
235 North Church Street, Homerville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 487-2288.
Shannon Davis Smith is licensed to practice in Georgia (license number 5479) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295894509.
Healthcare Provider's Profile
| Full Name | Shannon Davis Smith |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 29 Years |
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| Location | 235 North Church Street, Homerville, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon Davis Smith attended and graduated from Life Chiropractic College - West in 1995
NPI Data:
- NPI Number: 1295894509
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 10/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496827354
- Enrollment ID: I20080709000514
Medical Identifiers
Medical identifiers for Shannon Davis Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295894509 | NPI | - | NPPES |
| 00686485A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 5479 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Davis Smith allows following entities to bill medicare on his behalf.
| Provider Name | Shannon D Smith D. C P.c |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659599645
PECOS PAC ID: 0941372817
Enrollment ID: O20080709000525 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Davis Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Shannon Davis Smith, DC
235 North Church Street,
Homerville, GA 31634
Ph: (912) 487-2288 | Shannon Davis Smith, DC
235 North Church Street,
Homerville, GA 31634
Ph: (912) 487-2288 |
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