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MR. SIDNEY P SMITH M.D NPI 1104817410


NPI Information

NPI: 1104817410
Provider Name: MR. SIDNEY P SMITH, M.D
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
900 MOHAWK ST
SAVANNAH, GA
ZIP 31419
Phone: (912) 925-0067
Get Directions

MR. Sidney P Smith, M.D is a mohs-micrographic surgery dermatology in Savannah, GA with 37 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. MR. Sidney P Smith, M.D NPI is 1104817410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

900 MOHAWK ST
SAVANNAH, GA
ZIP 31419-780
Phone: (912) 925-0067
Fax: (912) 927-0267

The NPI 1104817410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) (HCPCS:17313)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (HCPCS:17312)
  • Destruction of skin growth (HCPCS:17000)
  • Radiation treatment management, 5 treatments (HCPCS:77427)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 11/4/2005 and was last updated on 3/31/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology17623SOUTH CAROLINANo
2207N00000XDermatology038615GEORGIANo
3207ND0101XDermatologyMOHS-Micrographic Surgery038615GEORGIAYes
4207ND0900XDermatologyDermatopathology17623SOUTH CAROLINANo
5207ND0900XDermatologyDermatopathology038615GEORGIANo
6207NP0225XDermatologyPediatric Dermatology17623SOUTH CAROLINANo
7207NP0225XDermatologyPediatric Dermatology038615GEORGIANo
8207NS0135XDermatologyProcedural Dermatology17623SOUTH CAROLINANo
9207NS0135XDermatologyProcedural Dermatology038615GEORGIANo
10207Q00000XFamily Medicine38615GEORGIANo
11207R00000XInternal Medicine038615GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1722272524AMEDICAIDGEORGIA
2722272524CMEDICAIDGEORGIA
3000637909CMEDICAIDGEORGIA
4722272524BMEDICAIDGEORGIA
5176231MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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