Individual provider Active NPI

Andrew Augustus Smith, MD

  • Family Medicine Physician
  • Daphne, AL
National Provider Identifier
1104892124
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20172 Issued in AL
Practice address
27961 Highway 98
Ste 14
Daphne, AL 36526-4725
Phone
(251) 626-1175
Fax
(251) 625-1507
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 20172 AL Primary

Addresses

Primary practice location

27961 Highway 98
Ste 14
Daphne, AL 36526-4725

Mailing address

27961 Highway 98
Ste 14
Daphne, AL 36526-4725
Phone (251) 626-1175

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111121000703 AL Practitioner - Family Practice 0345428330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Washington University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imc-Eastern Shore Family Practice LLCGroup PAC ID 7315218450, 6 clinicians

Practice addresses (Care Compare)

27961 US Hwy 98
Suite 14
Daphne, AL 36526-4725
Phone (251) 626-1175

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Daphne, AL, CCN 017058
  • Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35112ALMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: andrew.smith.1@17993.direct.athenahealth.com

Organizations & group practices 1

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 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104892124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27961 HIGHWAY 98",
            "address_2": "STE 14",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264725",
            "telephone_number": "251-626-1175",
            "fax_number": "251-625-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27961 HIGHWAY 98",
            "address_2": "STE 14",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264725",
            "telephone_number": "251-626-1175",
            "fax_number": "251-625-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREW",
        "middle_name": "AUGUSTUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.