Organization Active NPI

Terry C. Smith, M.D., PA

  • Durable Medical Equipment & Medical Supplies
  • Biloxi, MS
National Provider Identifier
1013947019
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PENDING Issued in MS
Legal business name
TERRY C. SMITH, M.D., PA
Practice address
180 Debuys Rd # B
Suite 102
Biloxi, MS 39531-4402
Phone
(228) 388-1823
Fax
(228) 388-1825
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Terry C Smith, M.D.NPI 1528219466
Title
Neurosurgeon
Phone
(228) 388-1823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 15469 MS
Durable Medical Equipment & Medical Supplies 332B00000X PENDING MS Primary

Addresses

Primary practice location

180 Debuys Rd # B
Suite 102
Biloxi, MS 39531-4402

Mailing address

180 Debuys Rd # B
Suite 102
Biloxi, MS 39531-4402
Phone (228) 388-1823

Other identifiers 1

IdentifierTypeStateIssuer
00118612MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000861 MS Part B Supplier - Clinic/Group Practice 6002830916 Receives reassigned benefits from 1 practitioner
Practice locations: Biloxi, MS

National Provider Directory

National Provider Directory

Locations

180 Debuys Rd
#B102
Biloxi, MS 39531
Phone (228) 388-1823

1009 Tommy Munro Dr
Biloxi, MS 39532
Phone (228) 388-1823

180B Debuys Rd
Ste 102
Biloxi, MS 39531
Phone (228) 388-1823

1009 Tommy Munro Dr
#B
Biloxi, MS 39532
Phone (228) 388-1823

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013947019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 DEBUYS RD # B",
            "address_2": "SUITE 102",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314402",
            "telephone_number": "228-388-1823",
            "fax_number": "228-388-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 DEBUYS RD # B",
            "address_2": "SUITE 102",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314402",
            "telephone_number": "228-388-1823",
            "fax_number": "228-388-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY C. SMITH, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "228-388-1823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "15469",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118612",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.