Provider Type Icon

SIDNEY P SMITH MD PC NPI 1427039254


NPI Information

NPI: 1427039254
Provider Name: SIDNEY P SMITH MD PC

Doing Business As: GEORGIA SKIN AND CANCER CLINIC

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 11D0902285

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

SIDNEY P SMITH MD PC is a dermatology in Savannah, GA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. SIDNEY P SMITH MD PC NPI is 1427039254. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Georgia Skin And Cancer Clinic.

The provider's business location address is:

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

The provider's authorized official is Sidney P Smith .
The authorized official title is Owner/president and has the following contact phone number (912) 925-0067.

The CLIA number assigned to this NPI record is 11D0902285 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 5/10/2016.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
2207ND0900XDermatologyDermatopathologyNo
3207NP0225XDermatologyPediatric DermatologyNo
4207NS0135XDermatologyProcedural DermatologyNo
5207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyNo
6207N00000XDermatologyYes

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
1CI1426MEDICARE ID-TYPE UNSPECIFIEDGEORGIARAILROAD MEDICARE
2GPA574MEDICAIDSOUTH CAROLINA
38312MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
4GRP2950MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.