Individual provider Active NPI

Philip W Smith, M.D.

  • Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1134113707
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD28619 Issued in TN
Practice address
601 Dodds Ave
Chattanooga, TN 37404-3911
Phone
(423) 362-4000
Fax
(423) 362-4004
NPI assigned
Sep 9, 2005
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD28619 TN Primary
Surgical Critical Care Physician 2086S0102X MD28619 TN

Addresses

Primary practice location

601 Dodds Ave
Chattanooga, TN 37404-3911

Mailing address

601 Dodds Ave
Chattanooga, TN 37404-3911
Phone (423) 362-4000

Other identifiers 6

IdentifierTypeStateIssuer
830964577BMedicaidGA
TN0185OtherJDH
2611015OtherCIGNA
Q002533MedicaidTN
2536483MedicaidOH
4085131OtherBCBS OF TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040624001337 TN Practitioner - General SurgeryPractitioner - Emergency Medicine 9436135142 Reassigns benefits to 3 organizations
I20240212002307 VA Practitioner - Anesthesiology 9436135142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Emergency Medicine
Education
East Tennessee State University Quillen College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 493-1959

601 Dodds Ave
Chattanooga, TN 37404-3911
Phone (423) 362-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
56.89 of 100Reported as group
Quality
62.23
Promoting interoperability
0
Improvement activities
40
Cost
77.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28619TNMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC CurrentSince Sep 1, 2024 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Sep 1, 2024 Accepting new patients
Urgent Specialty Associates PLLC Surgery CurrentSince Dec 29, 2023 Accepting new patients
Philip W Smith, MD, Facs, PLLC Current Accepting new patients
Intensive Care Consortium Inc CurrentSince Jun 19, 2025 Accepting new patients
University Surgical Associates PC Surgery Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

601 Dodds Ave
Chattanooga, TN 37404
Phone (423) 629-9783

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71772

Organizations & group practices 6

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 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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1134113707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043911",
            "telephone_number": "423-362-4000",
            "fax_number": "423-362-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043911",
            "telephone_number": "423-362-4000",
            "fax_number": "423-362-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILIP",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD28619",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TN",
            "license": "MD28619",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830964577B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JDH",
            "identifier": "TN0185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2611015",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002533",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2536483",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4085131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.