Thedia J Smith, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101046052 Issued in VA

Practice address

733 Volvo Pkwy
Suite 200
Chesapeake, VA 23320-1609

Phone

(757) 547-5851

Fax

(888) 371-4920

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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: thedia.smith@hrchc.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IHICAD/Endpoint/IHICAD

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.

• Portsmouth Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, VA
  • NPI 1134199193
  Medicare reassignment NPD
• Portsmouth Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Norfolk, VA
  • NPI 1144604877
  NPD
• Portsmouth Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Norfolk, VA
  • NPI 1871848184
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1013015080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 VOLVO PKWY",
            "address_2": "SUITE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201609",
            "telephone_number": "757-547-5851",
            "fax_number": "888-371-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 VOLVO PKWY",
            "address_2": "SUITE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201609",
            "telephone_number": "757-547-5851",
            "fax_number": "888-371-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THEDIA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101046052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010346045",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Smith
• Suzanne Sisson Smith, FNP-C
• Tamara Smith
• Tamara Nicole Smith
• Taron Nicole Smith
• Traci Mutzabaugh Smith, LCSW
• Smooth Transit, LLC
• Melvin G Snead Jr., LPC, LMFT
• Kendra Snell, BSN
• Nichelle Lavera Snell

• Pediatrics Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.