Individual provider Active NPI

Jeffrey Roser Smith, M.D., PH.D.

  • Clinical Genetics (M.D.) Physician
  • Nashville, TN
National Provider Identifier
1093892002
Registry record updated Jun 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
MD32252 Issued in TN
Practice address
1310 24TH Ave S
VA Tennessee Valley Healthcare System
Nashville, TN 37212
Phone
(615) 327-4751
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MD32252 TN
Clinical Genetics (M.D.) Physician 207SG0201X MD32252 TN Primary

Addresses

Primary practice location

1310 24TH Ave S
VA Tennessee Valley Healthcare System
Nashville, TN 37212

Mailing address

805 Hunterboro CT
Brentwood, TN 37027-6102
Phone (615) 376-8065

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 Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD32252TNMDClinical Genetics (M.D.) Physician
32252TNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527984000000",
    "number": "1093892002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HUNTERBORO CT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276102",
            "telephone_number": "615-376-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 24TH AVE S",
            "address_2": "VA TENNESSEE VALLEY HEALTHCARE SYSTEM",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37212",
            "telephone_number": "615-327-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "ROSER",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "MD32252",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "TN",
            "license": "MD32252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; 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.