AMANDA S SMITH PA NPI 1316043227

NPI Information

NPI: 1316043227
Provider Name: AMANDA S SMITH, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
700 RIVERSIDE AVE
WAYCROSS, GA
ZIP 31501
Phone: (912) 490-8546
Get Directions

Amanda S Smith, PA is a medical physician assistant in Waycross, GA. Amanda S Smith, PA NPI is 1316043227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 RIVERSIDE AVE
WAYCROSS, GA
ZIP 31501-358
Phone: (912) 490-8546
Fax: (877) 221-0052

The enumeration date for this NPI number is 9/16/2006 and was last updated on 12/26/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA9103832	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	292817500	MEDICAID	FLORIDA
2	003130352C	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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