Individual
STEPHEN DEREK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
80 NEWNAN STATION DRIVE, SUITE A, NEWNAN, GA 30265
(770) 251-2060
(678) 854-9235
Mailing address
PO BOX 73709, NEWNAN, GA 30271-3709
(770) 251-2060
(678) 854-9235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN076030
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000550338G
—
GA
01
—
156961100
U.S. DEPT. OF LABOR
GA
01
—
20-02624
UNITED HEALTHCARE
GA
01
—
52267829-002
BLUE CROSS BLUE SHIELD
GA
01
—
9975585
UNIVERSAL HEALTHCARE
GA
01
—
P00296749
RAIL ROAD MEDICARE
GA
Enumeration date
08/14/2006
Last updated
10/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us