Organization Active NPI

James Randall Smith MD PC

  • Specialist
  • Christiansburg, VA
National Provider Identifier
1093725012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101058436 Issued in VA
Legal business name
JAMES RANDALL SMITH MD PC
Practice address
225 Central Ave
Christiansburg, VA 24073-6093
Phone
(540) 382-4221
Fax
(540) 381-1889
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James R Smith, M.D.NPI 1386685519
Title
President
Phone
(540) 382-4221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101058436 VA Primary

Addresses

Primary practice location

225 Central Ave
Christiansburg, VA 24073-6093

Mailing address

PO Box 781
Radford, VA 24143-0781
Phone (540) 382-4221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000092 VA Part B Supplier - Clinic/Group Practice 4082749528 Receives reassigned benefits from 1 practitioner
Practice locations: Christiansburg, VA

National Provider Directory

National Provider Directory

Locations

225 Central Ave
Christiansburg, VA 24073
Phone (540) 382-4221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093725012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241430781",
            "telephone_number": "540-382-4221",
            "fax_number": "540-381-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CENTRAL AVE",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736093",
            "telephone_number": "540-382-4221",
            "fax_number": "540-381-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES RANDALL SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-382-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101058436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.