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CARYN J. MASTERMAN-SMITH D.O., NPI 1598767857

Pediatrics in VIDALIA, GA

Last Updated on : Feb 10,2022

About CARYN J. MASTERMAN-SMITH (NPI 1598767857)


CARYN J. MASTERMAN-SMITH is a Pediatrics provider in VIDALIA, United States. Her medical specialization is Pediatrics .

1598767857 is NPI number of CARYN J. MASTERMAN-SMITH.

CARYN J. MASTERMAN-SMITH's primary taxonomy code based on NPI Lookup is 208000000X with license number 63712. This taxonomy code refers to Pediatrics.

CARYN J. MASTERMAN-SMITH has more than 16 years of experience.

CARYN J. MASTERMAN-SMITH current practice location address is 125 CHURCH ST, VIDALIA, GA. CARYN J. MASTERMAN-SMITH can be reached out via phone at 912-538-8484 and via fax at 912-538-8665 .

You can also correspond with CARYN J. MASTERMAN-SMITH through mail at mailing address PO BOX 407, VIDALIA, GA, United States. Mailing address contact number is 912-537-4986.

The enumeration date of CARYN J. MASTERMAN-SMITH is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1598767857 NPI Information

Name CARYN J. MASTERMAN-SMITH
National Provider Id (NPI) 1598767857
Entity Type Individual
Gender F
Credential D.O.
Practice Address 125 CHURCH ST,
VIDALIA, GA, United States
Practice Telephone 912-538-8484
Practice Fax Number 912-538-8665
Mailing Address PO BOX 407 ,
VIDALIA, GA, United States
Mailing Telephone 912-537-4986
Mailing Fax Number
Enumeration Date 01-Jun-2005
Last Updated Date 10-Feb-2022

CARYN J. MASTERMAN-SMITH (NPI 1598767857) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 208000000X Pediatrics 63712 GA

CARYN J. MASTERMAN-SMITH (NPI 1598767857) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 208000000X Pediatrics OS8651 FL

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
880935875A MEDICAID (05) GA

CARYN J. MASTERMAN-SMITH (NPI 1598767857) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1629541677 CARA ELIZABETH ANDERSON Nurse Practitioner, Family 101 HARRIS INDUSTRIAL BLVD STE C,
VIDALIA, GA, United States
02-Jan-2019
1487161030 CARLA CLARK GAY Nurse Practitioner, Family 101 HARRIS INDUSTRIAL BLVD STE A,
VIDALIA, GA, United States
04-Jan-2018
1952062713 RESTORE METABOLIX OF VIDALIA Clinic/Center, Infusion Therapy 1805 MANNING DR,
VIDALIA, GA, United States
04-Jan-2022
1972581452 JOSEPH E CARRUTH Internal Medicine, Cardiovascular Disease 104 FAIRVIEW PARK DR,
DUBLIN, GA, United States
05-Jan-2006
1043298524 PRIDE R CHAPMAN Internal Medicine PO BOX 407,
VIDALIA, GA, United States
05-Jan-2006
1285870691 TWIN OAKS Exclusive Provider Organization 218 BUCKHORN CREEK RD,
VIDALIA, GA, United States
07-Jan-2009
1174945042 WILLENE HODGES Pharmacist 1704 AIMWELL RD,
VIDALIA, GA, United States
13-Jan-2014
1285090779 AMARA MCGEE Nurse Practitioner, Family PO BOX 407,
VIDALIA, GA, United States
13-Jan-2016
1730168865 AMICITA HOME HEALTH LLC Home Health 806 MAPLE DR,
VIDALIA, GA, United States
17-Jan-2006
1275864068 MANDY SELLERS GJONE Nurse Practitioner, Family 704 MAPLE DR, SUITE 1
VIDALIA, GA, United States
19-Jan-2010
1386234953 MELISSA WILLIAMSON Speech-Language Pathologist, 618 BOWENS MILL RD SW,
DOUGLAS, GA, United States
19-Jan-2021
1629608492 CIARA HAUGABROOK Nurse Practitioner, Family 303 HARRIS INDUSTRIAL BLVD STE 5,
VIDALIA, GA, United States
21-Jan-2020
1508910241 RURAL HEALTH CENTER OF SOUTHEAST GA.,INC. Clinic/Center, Rural Health 300 ARLINGTON DR., PO BOX 645
VIDALIA, GA, United States
22-Jan-2007
1932253606 JOHN BURTON DERRICK Physician Assistant, Medical 300 ARLINGTON DR, PO BOX 645
VIDALIA, GA, United States
22-Jan-2007
1992859599 FREDERICK MARTINEZ Internal Medicine 1 MEADOWS PKWY,
VIDALIA, GA, United States
22-Jan-2007
1962891317 LOGHMAN HUSEYNOV Internal Medicine 22725 HIGHWAY 76 E,
CLINTON, SC, United States
22-Jan-2015
1851578637 DAMON KEITH JESSUP Nurse Anesthetist, Certified Registered 1 MEADOWS PKWY,
VIDALIA, GA, United States
24-Jan-2008
1609374776 KATHERINE COLLINS Nurse Practitioner, Family 101 HARRIS INDUSTRIAL BLVD STE C,
VIDALIA, GA, United States
24-Jan-2018
1760538656 AMANDA R. WHITE Nurse Practitioner, Family 1005 BOULDER DR,
GRAY, GA, United States
25-Jan-2007
1487191714 BLOUNT YOUTH HOME OF GEORGIA, INC Community/Behavioral Health 582 MEL BLOUNT RD,
VIDALIA, GA, United States
25-Jan-2017

FAQs

Whose NPI Number is 1598767857?

1598767857 is the NPI number of CARYN J. MASTERMAN-SMITH.

What is the specialty for CARYN J. MASTERMAN-SMITH?

The Specialty of CARYN J. MASTERMAN-SMITH is Pediatrics.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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