Terry W. Smith M.D., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15659 Issued in TN

Legal business name

TERRY W. SMITH M.D., P.C.

Practice address

6237 Vance Rd
Suite 3
Chattanooga, TN 37421-2954

Phone

(423) 551-3940

Fax

(423) 305-7981

NPI assigned

Dec 13, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terry Smith, MDNPI 1033105689

Title

Owner

Phone

(423) 551-3940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry W Smith, MD

  • Family Medicine Physician
  • Chattanooga, TN
  • NPI 1033105689
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1003350836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 VANCE RD",
            "address_2": "SUITE 3",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212954",
            "telephone_number": "423-551-3940",
            "fax_number": "423-305-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 VANCE RD",
            "address_2": "SUITE 3",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212954",
            "telephone_number": "423-551-3940",
            "fax_number": "423-305-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY W. SMITH M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-551-3940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "15659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrace at Mountain Creek
• Blaire Chandler Terrell
• Connie Joellen Terrell, FNP-BC
• Dornise Lashun Terrell
• Terri L. Rieth, PHD
• Terry W. Smith, M.D., P.C.
• Eric Aldon Terry Sr.
• Katie Marie Terry, MS, LPC
• Starla Terry, RN
• Charmaine Tesina

• Family Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.