Active NPI
Samuel Henry Smith, M.D.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 63193
- Practice address
- University of Tennessee 920 Madison Avenue Suite 447
Memphis, TN 38163-0001 - Phone
- (901) 448-5885
- NPI assigned
- Apr 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 63193 | TN | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 63193 | TN | Primary |
Addresses
Primary practice location
University of Tennessee 920 Madison Avenue Suite 447
Memphis, TN 38163-0001
Mailing address
1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Phone (901) 866-8864
Other practice location 1
8040 Wolf River Blvd Ste 103
Germantown, TN 38138-1773
Phone (901) 725-8606
Other practice location 2
2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350
Other practice location 3
7675 Wolf River Cir Ste 202
Germantown, TN 38138-1747
Phone (901) 737-3021
Other practice location 4
8138 Country Village Dr
Cordova, TN 38016-2029
Phone (844) 837-2433
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7675 Wolf River Cir
Suite 202
Germantown, TN 38138-1747
Phone (901) 737-3021
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Baptist Memorial Health Services, Inc. of Mississippi | Single Specialty | Past | Accepting new patients |
Locations
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606
7675 Wolf River Cir
Ste 202
Memphis, TN 38138
Phone (901) 737-3021
Interoperability endpoints
- ssmith36785@mlh.direct-ci.com
- samuel.smith.p6@direct.uthsc.nextgenshare.com
- ssmith87476@direct.bmhcc.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
Single Specialty
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Internal Medicine Physician
- New Albany, MS
- NPI 1104971696
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1073967949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 CRESTHAVEN RD STE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190809",
"telephone_number": "901-866-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381630001",
"telephone_number": "901-448-5885"
}
],
"practiceLocations": [
{
"address_1": "8040 Wolf River Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381773",
"country_code": "US",
"telephone_number": "901-725-8606",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Exeter Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381383966",
"country_code": "US",
"telephone_number": "901-757-1350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7675 Wolf River Cir Ste 202",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381747",
"country_code": "US",
"telephone_number": "901-737-3021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8138 Country Village Dr",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380162029",
"country_code": "US",
"telephone_number": "844-837-2433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "SAMUEL",
"middle_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-18",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "TN",
"license": "63193",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "TN",
"license": "63193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.