Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598767857 Individual Practitioner Female Practitioner

Dr. Caryn J. Masterman-Smith , DO

Pediatrics • Vidalia, GA

Professional Overview & Biography Verified Profile Summary

Dr. Caryn Masterman-Smith, DO is a registered healthcare professional specializing in Pediatrics in Vidalia, GA. Practice services are available at 125 CHURCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 Church St

Vidalia, GA 304744770

Telephone 9125388484
Fax 9125388665
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Vidalia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Vidalia, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 63712

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL OS8651

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
880935875A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1245520279

Doctor of Medicine (M.D.)

NPI 1326334384

Doctor of Medicine (M.D.)

NPI 1417184771

Doctor of Osteopathic Medicine (D.O.)

Archie Kirkley , PA-C

Physician Assistant

NPI 1427436393

Physician Assistant (Certified)

NPI 1437218013

Doctor of Medicine (M.D.)

Courtney Ragan , FNP

Nurse Practitioner

NPI 1811402829

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2014

Registered at 125 CHURCH ST, VIDALIA, GA 304744770 (Tel: 9125388484)

📍
Updated Business Mailing Address September 02, 2014

Registered at PO BOX 407, VIDALIA, GA 304750407 (Tel: 9125374986)

👤
Provider Name / Credentials Updated September 02, 2014

Recorded as CARYN MASTERMAN-SMITH, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2014

Pediatrics (License #63712 in GA)

🟢
Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598767857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2005
Last Update: February 10, 2022
Sole Proprietor: No

Mailing Address

Po Box 407

Vidalia, GA 304750407

Phone: 9125374986

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.