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HUBERT RANDOLPH SMITH M.D.
NPI 1457354631
Family Medicine in Statesboro, GA

Active since May 23, 2005
658 NORTHSIDE DR E, SUITE A, STATESBORO, GA 30458(912) 764-9684(912) 489-8676 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hubert Randolph Smith M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUBERT RANDOLPH SMITH M.D. (NPI 1457354631) is an individual family medicine provider in Statesboro, Georgia, licensed in Georgia (18745) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1457354631
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHUBERT RANDOLPH SMITHCredential: M.D.
Location Address658 NORTHSIDE DR E, SUITE AStatesboro, GA 30458-4828
Mailing Address658 Northside Dr E, Suite AStatesboro, GA 30458-4828 · (912) 764-9684 · Fax (912) 489-8676
Phone(912) 764-9684
Fax(912) 489-8676
Sole ProprietorNo
Enumeration DateMay 23, 2005
Last NPPES UpdateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1457354631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 18745
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
658 NORTHSIDE DR E, Statesboro, GA 30458
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Other Identifiers 1

Medicaid000132547IGA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUGUSTA VAMC
Clinic/Center (VA)
658 NORTHSIDE DR E, SUITE B
STATESBORO, GA 30458
Bulloch County (828) 257-2333
SHELLY CLARY FNP-BC
Nurse Practitioner (Family)
658 NORTHSIDE DR E, SUITE A
STATESBORO, GA 30458
Bulloch County (912) 764-9684
HENRY KEVIN PURVIS M.D.
Family Medicine
658 NORTHSIDE DR E, STE A
STATESBORO, GA 30458
Bulloch County (912) 764-9684
CARLA S. BRANCH M.D.
Family Medicine
658 NORTHSIDE DR E, STE A
STATESBORO, GA 30458
Bulloch County (912) 764-9684

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hubert Smith's NPI number?

The NPI number for Hubert Smith is 1457354631. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Hubert Smith located?

Hubert Smith practices at 658 Northside Dr E Suite A, Statesboro, GA 30458. The listed phone number is (912) 764-9684.

What is Hubert Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Hubert Smith was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.