Individual provider Active NPI

Marcus Andrew Smith, M.D.

  • Neurological Surgery Physician
  • Texarkana, TX
National Provider Identifier
1093929150
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
N1153 Issued in TX
Practice address
2602 Saint Michael Dr Ste 302B
Texarkana, TX 75503-5228
Phone
(903) 794-4196
Fax
(903) 614-5190
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X N1153 TX Primary
Specialist 174400000X N1153 TX

Addresses

Primary practice location

2602 Saint Michael Dr Ste 302B
Texarkana, TX 75503-5228

Mailing address

PO Box 9600
Department 09-019
Texarkana, TX 75505-9600
Phone (903) 794-4196

Other practice location 1

1002 Texas Blvd
Suite 406
Texarkana, TX 75501-5113
Phone (903) 794-4196

Other practice location 2

2001 N Jefferson Ave Ste 204B
Mount Pleasant, TX 75455-2310
Phone (903) 577-6000

Other identifiers 14

IdentifierTypeStateIssuer
179117500OtherTXUS DEPARTMENT OF LABOR
85751OtherARBLUE CROSS BLUE SHIELD OF ARKANSAS
P00738165OtherTXRAILROAD MEDICARE
178049001MedicaidAR
200258160AMedicaidOK
8L14510OtherTXINDIVIDUAL PTAN MEDICARE
1093929150OtherTXQUALCHOICE
1871793307OtherCIGNA DME#
203880401MedicaidTX
P02599421OtherTXRR MCR
1093929150OtherTXTRICARE- HUMANA MILITARY
1093929150OtherHUMANA MILITARY
1G2371OtherTXMEDICARE
MDN1153OtherTXTEXAS WORKERS' COMPENSATION

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090629000398 TX Practitioner - Neurosurgery 7810048097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians

Practice addresses (Care Compare)

2001 N Jefferson Ave
Suite 204B
Mt Pleasant, TX 75455-2310
Phone (903) 434-4815

Hospital & facility affiliations

  • Titus Regional Medical Center Hospital, Mount Pleasant, TX, CCN 450080
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion162
Laminectomy or laminotomy (partial removal of spine bones)76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N1153TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network CurrentSince Jul 1, 2019 Accepting new patients
Christus Trinity Clinic Texas Neurological Surgery CurrentSince Aug 1, 2020 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jul 1, 2019 Accepting new patients
Titus County Hospital District CurrentSince Jun 10, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2020 Accepting new patients
Titus County Hospital District CurrentSince Jun 10, 2025 Accepting new patients
Titus County Hospital District Past Accepting new patients

Locations

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

2001 N Jefferson Ave
Ste 204B
Mt Pleasant, TX 75455
Phone (903) 577-4815

2602 Saint Michael Dr
Ste 302B
Texarkana, TX 75503
Phone (903) 614-5180

1002 Texas Blvd
Ste 406
Texarkana, TX 75501
Phone (903) 794-4196

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: msmith@71bbcd5a.micromddirect.com
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1093929150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9600",
            "address_2": "DEPARTMENT 09-019",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755059600",
            "telephone_number": "903-794-4196",
            "fax_number": "903-792-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 SAINT MICHAEL DR STE 302B",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035228",
            "telephone_number": "903-794-4196",
            "fax_number": "903-614-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Texas Blvd",
            "address_2": "Suite 406",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755015113",
            "country_code": "US",
            "telephone_number": "903-794-4196",
            "fax_number": "903-792-7408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 N Jefferson Ave Ste 204B",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754552310",
            "country_code": "US",
            "telephone_number": "903-577-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARCUS",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "N1153",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "N1153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "179117500",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ARKANSAS",
            "identifier": "85751",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00738165",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178049001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200258160A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN  MEDICARE",
            "identifier": "8L14510",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "1093929150",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DME#",
            "identifier": "1871793307",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203880401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P02599421",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE- HUMANA MILITARY",
            "identifier": "1093929150",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MILITARY",
            "identifier": "1093929150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1G2371",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS WORKERS' COMPENSATION",
            "identifier": "MDN1153",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.