MEDICARE: ADAM GEORGE SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist	APS.007120	OH

General Provider Information

NPI Number	:	1477410009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM GEORGE SMITH

Provider Business Mailing Address
First Line	:	644 MUSKINGUM AVE NW
Second Line	:
City	:	BREWSTER
State	:	OH
Zip	:	44613-1028
Country	:	US
Telephone Number	:	330-327-9576
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 W MARKET ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44313-7000
Country	:	US
Telephone Number	:	234-200-1219
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ ADAM GEORGE SMITH ” Practice Location

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