Individual provider Active NPI

Venetia A Smith, FNP

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1124306097
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16104 Issued in TN
Practice address
6685 Poplar Ave Ste 120
Germantown, TN 38138-3742
Phone
(901) 685-8245
Fax
(901) 685-8248
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 147887 TN
Family Nurse Practitioner 363LF0000X 16104 TN Primary

Addresses

Primary practice location

6685 Poplar Ave Ste 120
Germantown, TN 38138-3742

Mailing address

965 Ridge Lake Blvd
Memphis, TN 38120-9401

Other names 1

  • Venetia Gail Smith Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111101000166 TN Practitioner - Nurse Practitioner 2860665296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Practice addresses (Care Compare)

1717 W Massey Rd
Memphis, TN 38120-4206
Phone (901) 685-8245

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16104TNMDMental Health Counselor
147887TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Aug 20, 2013 Accepting new patients
Advanced Primary Care LLC CurrentSince Dec 17, 2012 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 20, 2013 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2747 Bartlett Blvd
Bartlett, TN 38134
Phone (901) 590-3332

6685 Poplar Ave
Ste 120
Germantown, TN 38138
Phone (901) 685-8245

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

965 Ridge Lake Blvd
Memphis, TN 38120

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

5983 Apple Tree Dr
Memphis, TN 38115
Phone (901) 363-1945

6305 Humphreys Blvd
Ste 101
Memphis, TN 38120
Phone (901) 227-8930

Interoperability endpoints

  • Direct secure messaging: vsmith4517@direct.bmhcc.org

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 6

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1124306097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6685 POPLAR AVE STE 120",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383742",
            "telephone_number": "901-685-8245",
            "fax_number": "901-685-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VENETIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "147887",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENETIA",
            "last_name": "SMITH",
            "middle_name": "GAIL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.