| Joseph C. Smiddy Md Pc | |
|
1700 Briarcliff Rd Ne Atlanta GA 30306-2106 | |
| (404) 228-2648 | |
| (404) 228-7556 |
| Full Name | Joseph C. Smiddy Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 Briarcliff Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Joseph Smiddy (M.D. & OFFICE MANAGER) |
| Authorized Official Contact | 4042282648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph C. Smiddy Md Pc 1700 Briarcliff Rd Ne Atlanta GA 30306-2106 Ph: (404) 228-2648 | Joseph C. Smiddy Md Pc 1700 Briarcliff Rd Ne Atlanta GA 30306-2106 Ph: (404) 228-2648 |
| NPI Number | 1699178681 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 4486876190 |
|---|---|
| Medicare Enrollment ID | O20141113001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699178681 | NPI | - | NPPES |
| 11BDRMB | Other | GA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 042728 (Georgia) | Primary |
| Provider Name | Joseph Carl Smiddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841246006 PECOS PAC ID: 8022200203 Enrollment ID: I20101006000502 |
| Provider Name | Erin Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891154613 PECOS PAC ID: 4486931573 Enrollment ID: I20170427000299 |
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