James Donald Smith Jr., MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

8751 Issued in AL

Practice address

1722 Pine St
Ste 408
Montgomery, AL 36106-1159

Phone

(205) 977-9876

NPI assigned

Nov 8, 2005

Last updated

Sep 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Aqua Dermatology of Alabama PC

  dba Sunrise Dermatology

  • MOHS-Micrographic Surgery Physician
  • Vestavia HLS, AL
  • NPI 1477708642

  Dermatology

  Medicare reassignment NPD
• James D. Smith, M.D.

  • Dermatology Physician
  • Montgomery, AL
  • NPI 1275722100
  Authorized official Same address or phone
• Cutaneous Oncology & Surgery Center, LLC

  dba SmoothRock Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vestavia HLS, AL
  • NPI 1699139915
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1093796880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 STONEGATE DR STE 130",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "352422541",
            "telephone_number": "205-977-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "STE 408",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061159",
            "telephone_number": "205-977-9876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Stonegate Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hls",
            "state": "AL",
            "postal_code": "352422541",
            "country_code": "US",
            "telephone_number": "205-977-9876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "8751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02537",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliott Smith, RN
• Emmett Ward Smith, D.M.D.
• Gordon V Smith, MD
• Iyana Simone Smith
• Jacquelyn Aubin Smith, ATC
• Jayme Leigh Smith, FNP-C
• Jennifer Smith
• Johnathon Quintrell Smith, M.D.
• Julian Brandt Smith, DDS
• Kiara D Smith, LICSW

• Dermatology Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.