Eugene Freeman Smith, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

8894 Issued in SC

Practice address

250 Dewey Ave
Spartanburg, SC 29303-3009

Phone

(864) 585-0366

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114905130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BROOKHAVEN DR",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293699750",
            "telephone_number": "864-433-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DEWEY AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033009",
            "telephone_number": "864-585-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EUGENE",
        "middle_name": "FREEMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "8894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088942",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrystal Felicia Smith, CNA, PBT(ASCP)
• Crystal Leigh Smith, NP
• Daina Adele Smith, LPC-A
• David Conan Smith II, MD
• Donna Payne Smith, MD
• Jacqueline Kaye Smith, N.P.
• James Keelan Smith, PHARM.D.
• Jamison Allen Smith, CACII
• Jason Smith, BA
• Jeffrey Smith, MD

• Psychiatry Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.