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 | 19 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 |
---|---|---|
Johnston Memorial Hospital | Abingdon, VA | Hospital |
Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Greeneville Community Hospital | Greeneville, TN | Hospital |
Smyth County Community Hospital | Marion, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Of Georgia Llc | 4284951542 | 332 |
Blue Ridge Radiology Pc | 7416860473 | 44 |
Entity Name | South Georgia Radiology Associates Llc |
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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: May Accept Medicare Assignments Practice Location: 44 N Main St, Baxley, GA 31515 Phone: 912-705-7472 |