Individual provider Active NPI

Shea O Smith, CNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1063829315
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
68479 Issued in NM
Practice address
1720 2ND Ave S
Faculty Office Tower Ste 1038
Birmingham, AL 35924
Phone
(205) 934-9879
Fax
(205) 934-6088
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-129131 AL
Family Nurse Practitioner 363LF0000X 68479 NM
Nurse Practitioner 363L00000X 68479 NM Primary

Addresses

Primary practice location

1720 2ND Ave S
Faculty Office Tower Ste 1038
Birmingham, AL 35924

Mailing address

1720 2ND Ave S
Faculty Office Tower Ste 1038
Birmingham, AL 35924
Phone (205) 934-9879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, TN, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160321000898 FL Practitioner - Nurse Practitioner 8224351143 Reassigns benefits to 5 organizations
I20221129000107 NM Practitioner - Nurse Practitioner 8224351143 Reassigns benefits to 1 organization
I20250527000028 TN Practitioner - Nurse Practitioner 8224351143 Reassigns benefits to 1 organization
I20251203000626 GA Practitioner - Nurse Practitioner 8224351143 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 469-2313

3436 Isleta Blvd SW
Albuquerque, NM 87105-5837
Phone (505) 462-7777

6001 Webb Rd
Tampa Community Hospital Campus
Tampa, FL 33615-3241
Phone (813) 888-7060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
93.19
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
35943TNMDPharmacist
68479NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensivist Medicine Services of FL, LLC CurrentSince Oct 27, 2025 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Oct 20, 2025 Accepting new patients
Pensacola Emergency Physicians, LLC CurrentSince Jan 15, 2016 Accepting new patients
Baptist Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 14, 2022 Accepting new patients
Houston County Emergency Group, LLC CurrentSince Oct 20, 2025 Accepting new patients
Houston County Emergency Group, LLC CurrentSince Oct 20, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Aug 1, 2025 Accepting new patients
Heritage Physician Services, LLC CurrentSince Oct 20, 2025 Accepting new patients
Gordon Emergency Physicians, LLC CurrentSince Oct 20, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 14, 2022 Accepting new patients
Pensacola Emergency Physicians, LLC CurrentSince Jan 15, 2016 Accepting new patients
Gulf Coast Mobile Medical Care LLC CurrentSince Jan 3, 2022 Accepting new patients
Baptist Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
Gordon Emergency Physicians, LLC CurrentSince Oct 20, 2025 Accepting new patients
Emergency Medicine Services of TN, PC Family CurrentSince Apr 10, 2025 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

8888 Navarre Pkwy
Ste 106
Navarre, FL 32566
Phone (850) 908-8888

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

2901 W Swann Ave
Fl S
Tampa, FL 33609
Phone (813) 873-6400

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

7400 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 596-2400

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

8312 Kaseman Ct NE
Albuquerque, NM 87110
Phone (505) 291-2200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: ssmith224342@direct.phs.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1063829315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 2ND AVE S",
            "address_2": "FACULTY OFFICE TOWER STE 1038",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35924",
            "telephone_number": "205-934-9879",
            "fax_number": "205-934-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 2ND AVE S",
            "address_2": "FACULTY OFFICE TOWER STE 1038",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35924",
            "telephone_number": "205-934-9879",
            "fax_number": "205-934-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHEA",
        "middle_name": "O",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-129131",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "68479",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "68479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.