Devon D. Smith, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD21152 Issued in TN

Legal business name

DEVON D. SMITH, MD

Doing business as

Grace Internal Medicine

Practice address

1621 W Morris Blvd Ste a
Morristown, TN 37813-2967

Phone

(423) 307-8088

Fax

(423) 307-8049

NPI assigned

Sep 18, 2007

Last updated

Jan 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Devon D Smith, MDNPI 1952370587

Title

Owner

Phone

(423) 307-8088

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grace Internal Medicine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Devon D. Smith, M.D.

  • Internal Medicine Physician
  • Morristown, TN
  • NPI 1952370587
  Authorized official Same address or phone

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1114113628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD STE A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132967",
            "telephone_number": "423-307-8088",
            "fax_number": "423-307-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD STE A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132967",
            "telephone_number": "423-307-8088",
            "fax_number": "423-307-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON D. SMITH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-307-8088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD21152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4153913",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3069190",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric G Delay, M.D.
• Sebastien Gabriel Demoiny, D.P.M.
• Dental Care
• Tonya Denise Denton, FNP
• Denturecare LLC
• Jacquelyn Devore, LCSW
• Dialysis Center of Morristown PLLC
• Joseph Dichiara, DO
• Traci Dickerson
• Rodney O. Diehl, DO

• Internal Medicine Physician in Morristown, TN
• Providers in Morristown, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.