David L. Smith, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

05323 Issued in MS

Practice address

1040 River Oaks Dr Ste 303
Flowood, MS 39232-9576

Phone

(601) 936-0706

Fax

(601) 936-6150

NPI assigned

Jun 27, 2006

Sex

Male

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.smith.jr.1@4695.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4

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.

• River Oaks Management Company LLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1922029040
  Medicare reassignment NPD
• Careplus Lakeview Family Medicine

  • Family Medicine Physician
  • Clinton, MS
  • NPI 1942621024
  NPD
• Reservoir Family Medical Clinic, PA

  • Family Medicine Physician
  • Flowood, MS
  • NPI 1770929713
  NPD
• River Oaks Management Company, LLC

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1295926020
  NPD
• University Internal Medicine Assoc LLP

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1083656870
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1023045572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR STE 303",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329576",
            "telephone_number": "601-936-0706",
            "fax_number": "601-936-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR STE 303",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329576",
            "telephone_number": "601-936-0706",
            "fax_number": "601-936-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MS",
            "license": "05323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125737",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.smith.jr.1@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1040 River Oaks Dr Ste 303",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392329576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Sloan, NP-C
• Adrian R Smith, M.D.
• Allicia Anne Smith, LPN
• Ashleigh Smith, LPTA
• Brianna Smith
• Erica Smith, APRN
• James Edward Smith Jr., PHARMD
• Jordan Claire Smith, MSN, FNP-C
• Luretha Smith, NNP
• Mary T Smith, FNP

• Infectious Disease Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Infectious Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.