NPIMap

Individual provider Active NPI

Joanne Holliday Smith, D.O.

  • Family Medicine Physician
  • Andalusia, AL
National Provider Identifier
1104821099
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO235 Issued in AL
Practice address
601 W Bypass
Andalusia, AL 36420-4732
Phone
(334) 222-0184
Fax
(334) 222-0625
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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 DO235 AL Primary

Addresses

Primary practice location

601 W Bypass
Andalusia, AL 36420-4732

Mailing address

PO Box 609
Andalusia, AL 36420-1211
Phone (334) 222-0184

Other identifiers 1

IdentifierTypeStateIssuer
000009417MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022000671 AL Practitioner - Family Practice 8527251529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Family Health Care, IncGroup PAC ID 5698794378, 2 clinicians

Practice addresses (Care Compare)

601 W Bypass
Andalusia, AL 36420-4732
Phone (334) 222-0184

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Andalusia, AL, CCN 017121
  • LHC Homecare of South Alabama Home health agency, Opp, AL, CCN 017134
  • Aveanna Hospice of Andalusia Hospice, Andalusia, AL, CCN 011597
  • Andalusia Health Hospital, Andalusia, AL, CCN 010036
  • Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Andalusia Manor Nursing home, Andalusia, AL, CCN 015416

Merit-based Incentive Payment System (MIPS)

Final score
40.98 of 100Reported as individual
Quality
31.27
Improvement activities
0
Cost
87.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Family Health Care, Inc Family Medicine CurrentSince Jun 1, 1999 Accepting new patients
Andalusia Manor LLC Past Accepting new patients
Community Hospital of Andalusia LLC Past Accepting new patients

Locations

601 W Bypass
Andalusia, AL 36420
Phone (334) 222-0184

Interoperability endpoints

  • Direct secure messaging: joanne_smith_-_md@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Andalusia ManorAndalusia, AL, CCN 015416 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2025
Feb 1, 2025
Aveanna Hospice of AndalusiaAndalusia, AL, CCN 011597 Hospice W-2 Managing Employee Jul 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 8

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1104821099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201211",
            "telephone_number": "334-222-0184",
            "fax_number": "334-222-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W BYPASS",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364204732",
            "telephone_number": "334-222-0184",
            "fax_number": "334-222-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOANNE",
        "middle_name": "HOLLIDAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009417",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.