Active NPI
Robert Smith, MD
- Family Medicine Physician
- West Point, MS
National Provider Identifier
1003981879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10838
- Practice address
- 740 Medical Center Dr
West Point, MS 39773-9317 - Phone
- (662) 494-8500
- Fax
- (662) 494-8488
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10838 | MS | |
| Family Medicine Physician | 207Q00000X | 10838 | MS | Primary |
Addresses
Primary practice location
740 Medical Center Dr
West Point, MS 39773-9317
Mailing address
740 Medical Center Dr
West Point, MS 39773-9317
Phone (662) 494-8500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113650710 | Other | MS | BCBS |
| 00019424 | Medicaid | MS | |
| 02530579 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Batesville Emergency Physicians | Past | Accepting new patients | |
| Baptist Memorial Hospital-Desoto, Inc, | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- Urgent Care Clinic/Center
- Batesville, MS
- NPI 1316036973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1003981879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 MEDICAL CENTER DR",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397739317",
"telephone_number": "662-494-8500",
"fax_number": "662-494-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 MEDICAL CENTER DR",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397739317",
"telephone_number": "662-494-8500",
"fax_number": "662-494-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "10838",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "10838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "113650710",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00019424",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02530579",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Point, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.