Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Edmund Earl Smith, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1255952107

Mr. Edmund Earl Smith, PHYSICIANASSISTANT is a Physician Assistant in Alpharetta, Georgia. Graduated from Morehouse School of Medicine in 2021, 5 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Trained at
Morehouse School of Medicine
Licensed in
GA
In the registry since
2020
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Practice location Address checks out

13081 Highway 9 N
Alpharetta, GA 30004-5150
Phone: (770) 521-6690
Fax: (770) 521-6609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 720 Westview Dr Sw, Atlanta, GA 30310-1458 — (404) 752-1500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11049 (GA)

Record details

NPI number1255952107
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedMay 1, 2020
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations19 on file with Medicare

Other providers in Alpharetta