Whitaker Michael Smith, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0000031792 Issued in TN

Practice address

366 Meadowlake Cir
Seymour, TN 37865-4971

Phone

(423) 335-3323

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 10

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: whitaker.smith.1@22155.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1018/brand/1/csg/1/fhir/r4
• Direct secure messaging: whitaker.smith.1@22225.direct.athenahealth.com
• Direct secure messaging: whitaker.smith.1@1018.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dayspring Family Care PLLC

  • Medical Physician Assistant
  • Knoxville, TN
  • NPI 1114027224
  Medicare reassignment NPD
• Smoky Mountain Primary Care

  • Primary Care Clinic/Center
  • Maryville, TN
  • NPI 1932602448
  Medicare reassignment NPD
• Crossroads Urgent Care PLLC

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361
  Medicare reassignment
• DX Mso, PLLC

  • Urgent Care Clinic/Center
  • Chattanooga, TN
  • NPI 1225381148
  Medicare reassignment
• Elder Care of Knoxville, LLC

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1467774331
  Medicare reassignment
• Mountain View Mental Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maryville, TN
  • NPI 1952804791
  NPD
• Regen Wound & Wellness

  • Nurse Practitioner
  • Dayton, OH
  • NPI 1427933498
  NPD
• Afc Urgent Care and Family Care of WNC, PLLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1679066658
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1003827205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 MEADOWLAKE CIR",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654971",
            "telephone_number": "423-335-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 MEADOWLAKE CIR",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654971",
            "telephone_number": "423-335-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WHITAKER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "11537017",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101261890",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0000031792",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "61023437",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "27188",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "305209",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.069231",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "84719",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "11943",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME144976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3841375",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005618941",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080162793",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Slagle, B.A.
• Cathy C. Smith, DDS
• Douglas G. Smith, DDS
• Kyle Robert Smith, D.D.S.
• Phyllis C Smith, FNP
• Smokey Mountain Adult Care
• Smoky Mountain in-Home Care, LLC
• Smoky Mountain Mental Health, LLC
• Solace Therapeutics, Inc
• Southeast Oral Surgery PC

• Family Medicine Physician in Seymour, TN
• Providers in Seymour, 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 Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.