Individual provider Active NPI

Dustin Welles Smith, MD

  • Surgery Physician
  • Franklin, TN
National Provider Identifier
1073779930
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
45112 Issued in TN
Practice address
4601 Carothers Pkwy
Suite 360
Franklin, TN 37067-5976
Phone
(615) 794-8900
Fax
(615) 794-0038
NPI assigned
Jul 31, 2008
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 45112 TN Primary

Addresses

Primary practice location

4601 Carothers Pkwy
Suite 360
Franklin, TN 37067-5976

Mailing address

4601 Carothers Pkwy
Suite 360
Franklin, TN 37067-5976
Phone (615) 794-8900

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090810000678 TN Practitioner - General Surgery 8426102443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Tennessee, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Williamson Medical Group, LLCGroup PAC ID 6204069602, 68 clinicians

Practice addresses (Care Compare)

4323 Carothers Pkwy
Franklin, TN 37067-5914

4323 Carothers Pkwy
Franklin, TN 37067-5920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)18
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45112TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Medical Group, LLC CurrentSince Apr 1, 2014 Accepting new patients

Locations

4323 Carothers Pkwy
Ste 500
Franklin, TN 37067
Phone (615) 435-7777

4323 Carothers Pkwy
Ste 505
Franklin, TN 37067
Phone (615) 435-7780

4601 Carothers Pkwy
Ste 360
Franklin, TN 37067
Phone (615) 794-8900

Interoperability endpoints

  • Direct secure messaging: dustinsmith@wmc.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1073779930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 CAROTHERS PKWY",
            "address_2": "SUITE 360",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675976",
            "telephone_number": "615-794-8900",
            "fax_number": "615-794-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CAROTHERS PKWY",
            "address_2": "SUITE 360",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675976",
            "telephone_number": "615-794-8900",
            "fax_number": "615-794-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DUSTIN",
        "middle_name": "WELLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "45112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.