Individual provider Active NPI

Clifford C Smith III, DO

  • Family Medicine Physician
  • Louisa, KY
National Provider Identifier
1093120933
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04144 Issued in KY
Practice address
203 S Water St
Louisa, KY 41230-1347
Phone
(606) 649-2211
Fax
(606) 638-1399
NPI assigned
Jun 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04144 KY Primary

Addresses

Primary practice location

203 S Water St
Louisa, KY 41230-1347

Mailing address

203 S Water St
Louisa, KY 41230-1347
Phone (606) 649-2211

Other practice location 1

125 S Main Cross St
Louisa, KY 41230-1330
Phone (606) 638-0938

Other practice location 2

2735 Bardstown Rd
St Catharine, KY 40061-9435
Phone (606) 638-0938

Other practice location 3

44 Water St
Owingsville, KY 40360-8944
Phone (606) 674-9708

Other practice location 4

50 Recovery Dr
Ashland, KY 41101-8800
Phone (606) 220-0010

Other practice location 5

2420 Argillite Rd
Flatwoods, KY 41139-1972
Phone (606) 836-3900

Other identifiers 1

IdentifierTypeStateIssuer
7100464740MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP941KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Health Group LLC Past Accepting new patients
Science Hill Family Care LLC Dba Pioneer Rural Health Clinic Past Accepting new patients
Arc Health Systems, LLC PastSince Apr 21, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1093120933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S WATER ST",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301347",
            "telephone_number": "606-649-2211",
            "fax_number": "606-638-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WATER ST",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301347",
            "telephone_number": "606-649-2211",
            "fax_number": "606-638-1399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Main Cross St",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412301330",
            "country_code": "US",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2735 Bardstown Rd",
            "address_purpose": "LOCATION",
            "city": "St Catharine",
            "state": "KY",
            "postal_code": "400619435",
            "country_code": "US",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Water St",
            "address_purpose": "LOCATION",
            "city": "Owingsville",
            "state": "KY",
            "postal_code": "403608944",
            "country_code": "US",
            "telephone_number": "606-674-9708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Recovery Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411018800",
            "country_code": "US",
            "telephone_number": "606-220-0010",
            "fax_number": "606-744-1875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 Argillite Rd",
            "address_purpose": "LOCATION",
            "city": "Flatwoods",
            "state": "KY",
            "postal_code": "411391972",
            "country_code": "US",
            "telephone_number": "606-836-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLIFFORD",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100464740",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.