NPI age
20 years
Enumerated 2005-06-01
● Active
Type 1 · Individual
Caryn J. Masterman-Smith, D.O.
Masterman-Smith is 1 of 15 pediatrics providers in Vidalia and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-02-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Practice location
125 Church St
Vidalia, GA 304744770
Mailing address
Po Box 407
Vidalia, GA 304750407
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 880935875A |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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