Connor Smith, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME177442 Issued in FL

Practice address

361 Greenway TRL
Santa Rosa Beach, FL 32459-5589

Phone

(850) 892-8015

NPI assigned

Mar 25, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Florida Clinical Practice Association Inc

  dba UF Health Physicians

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768

  Family Medicine

  NPD (past)
• Walton County Health Department

  • Public Health or Welfare Agency
  • Defuniak Springs, FL
  • NPI 1033282801
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1013767854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 GREENWAY TRL",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595589",
            "telephone_number": "850-892-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 GREENWAY TRL",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595589",
            "telephone_number": "850-892-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CONNOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME177442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Ann Slaughter
• Jennifer Sloboda, APRN
• Richard Slusher, LMT
• Christine F Smiley, DO
• Justin Smiley, DO
• Itetra Smith
• Jessica Smith
• Peyton Smith
• Tamra Snook, LCSW
• Sophrosyne Florida

• Family Medicine Physician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.