Individual provider Active NPI

Christopher C Smith, D.O.

  • Family Medicine Physician
  • Samson, AL
National Provider Identifier
1114235496
Registry record updated Aug 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.1188 Issued in AL
Practice address
98 E Morris St
Samson, AL 36477-1229
Phone
(334) 898-2728
Fax
(334) 898-2774
NPI assigned
Sep 20, 2010
Last updated
Aug 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10782 FL
Family Medicine Physician 207Q00000X DO.1188 AL Primary

Addresses

Primary practice location

98 E Morris St
Samson, AL 36477-1229

Mailing address

98 E Morris St
Samson, AL 36477-1229
Phone (334) 898-2728

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
I20110726000383 AL Practitioner - Osteopathic Manipulative Medicine 2668640210 Reassigns benefits to 1 organization
Practice locations: Geneva, AL

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 W Maple Ave
Geneva, AL 36340-1642
Phone (334) 684-3655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1188ALMDFamily Medicine Physician
OS10782FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva County Healthcare Authority, Inc. CurrentSince Jan 3, 2024 Accepting new patients
Geneva County Healthcare Authority Inc Past Accepting new patients
Fischer Family Medicine P.C. Family Medicine Past Accepting new patients
Geneva Emergency Room Doctors LLC Past Accepting new patients
Geneva County Healthcare Authority, Inc. Family Medicine Past Accepting new patients

Locations

1200 W Maple Ave
Geneva, AL 36340
Phone (334) 684-3655

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313798400000",
    "number": "1114235496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 E MORRIS ST",
            "city": "SAMSON",
            "state": "AL",
            "postal_code": "364771229",
            "telephone_number": "334-898-2728",
            "fax_number": "334-898-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E MORRIS ST",
            "city": "SAMSON",
            "state": "AL",
            "postal_code": "364771229",
            "telephone_number": "334-898-2728",
            "fax_number": "334-898-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2011-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10782",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.1188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Samson, AL

Sources for this page

Verify at the official NPI Registry.