Charlie Dorn Smith III, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

13042 Issued in SC

Practice address

2322 Burnt Branch Rd
Lake City, SC 29560-7910

Phone

(843) 687-0153

Fax

(843) 673-9457

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC, IN, MN, SD, KY, NC6 enrollments

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 6

Specialty

Thoracic SurgeryAlso: Cardiac Surgery, Peripheral Vascular Disease, Vascular Surgery

Education

University of South Carolina School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians

Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians

Henderson County Hospital CorporationGroup PAC ID 8123938115, 231 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017
• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
• Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
• Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

Merit-based Incentive Payment System (MIPS)

Final score

85.72 of 100Reported as apm

Quality

68.82

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Interoperability endpoints

• Direct secure messaging: charlie.smith.2@7598.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.

• Henderson County Hospital Corporation

  • Multi-Specialty Clinic/Center
  • Hendersonville, NC
  • NPI 1447444559
  Medicare reassignment Care Compare group NPD
• Monument Health Rapid City Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment Care Compare group
• Carolina Family Care, Inc

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722
  Medicare reassignment NPD
• Musc Community Physicians

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1518360296
  Medicare reassignment NPD
• Hennepin Healthcare System, Inc

  • Rehabilitation Hospital Unit
  • Minneapolis, MN
  • NPI 1033138136
  Medicare reassignment NPD
• St Mary'S Medical Group, LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1164852539
  Medicare reassignment NPD
• Carolina Family Care, Inc

  • Internal Medicine Physician
  • Lancaster, SC
  • NPI 1275564098
  NPD
• Musc Community Physicians

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Musc Community Physicians

  • Family Medicine Physician
  • Bamberg, SC
  • NPI 1992383145
  NPD
• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Nicholasville, KY
  • NPI 1255805586
  NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grand Strand Regional Medical Center LLC

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation
• Spartanburg Medical Center

  • Psychiatric Hospital Unit
  • Spartanburg, SC
  • NPI 1033681630
  Care Compare affiliation
• Spartanburg Medical Center

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1326373697

  Hospital

  Care Compare affiliation
• Spartanburg Medical Center

  • General Acute Care Hospital
  • Spartanburg, SC
  • NPI 1609807122
  Care Compare affiliation
• Spartanburg Medical Center

  • Rehabilitation Hospital Unit
  • Spartanburg, SC
  • NPI 1942772546
  Care Compare affiliation
• Henderson County Hospital Corporation

  • General Acute Care Hospital
  • Hendersonville, NC
  • NPI 1144247982
  Care Compare affiliation
• Monument Health Rapid City Hospital Inc

  • Psychiatric Hospital Unit
  • Rapid City, SD
  • NPI 1437531571
  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1376922591

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Family Medicine Physician
  • Rapid City, SD
  • NPI 1386022960

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1437122009
  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1689052862
  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1730568957

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1003874892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 BURNT BRANCH RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607910",
            "telephone_number": "843-687-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 BURNT BRANCH RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607910",
            "telephone_number": "843-687-0153",
            "fax_number": "843-673-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLIE",
        "middle_name": "DORN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "2023-01615",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "13042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1679530968",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130423",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "7937",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lena Smith, RN
• Margaret Harvell Soles, CCC-SLP
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• South Carolina CVS Pharmacy LLC
• Amanda Nache Spates

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lake City, SC
• Providers in Lake City, SC by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.