Douglas Smith, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35514 Issued in NC

Practice address

350 Pee Dee Ave
Suite a
Albemarle, NC 28001-4932

Phone

(704) 983-8868

NPI assigned

Jan 16, 2007

Last updated

Feb 4, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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

• FHIR API: https://api.qualifacts.org/api/fhir/psychotherapeuticservices/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  Medicare reassignment NPD
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Psychotherapeutic Services

  • Psychiatry Physician
  • Burlington, NC
  • NPI 1619161718
  NPD (past)
• Psychotherpeutic Services, Inc

  • Psychiatry Physician
  • Burlington, NC
  • NPI 1811030612
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1023169950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PEE DEE AVE",
            "address_2": "SUITE A",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014932",
            "telephone_number": "704-983-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PEE DEE AVE",
            "address_2": "SUITE A",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014932",
            "telephone_number": "704-983-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "35514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Whitley Small, PA-C
• Amber Leann Smith, RN, CLD
• Bruce Carlton Smith, DDS
• Cheryl Delila Smith, LCSW
• Christina Elizabeth Smith, MCD, CCC-SLP
• Germanek Lashae Smith, BSW
• Hanna Lynn Smith, DDS
• Scott Alan Smith, M.A., LPC, LCAS
• Tiffany Latoya Smith
• Ty Smith, PA

• Psychiatry Physician in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.