Individual provider Active NPI

Joshua Andrew Smith, M.D./PH.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Huntsville, AL
National Provider Identifier
1174055214
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MD.44407 Issued in AL
Practice address
420 Lowell Dr SE Ste 404
Huntsville, AL 35801-3754
Phone
(256) 265-1175
Fax
(256) 265-1780
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD.44407 AL Primary

Addresses

Primary practice location

420 Lowell Dr SE Ste 404
Huntsville, AL 35801-3754

Mailing address

PO Box 21007
Huntsville, AL 35813-5007
Phone (256) 801-6048

Other practice location 1

6701 Fannin St
Texas Children's Hospital-Clinical Care Center(Floor 9)
Houston, TX 77030-2608
Phone (843) 475-8679

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
I20221017000646 AL Practitioner - Neurology 8628444619 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.44407ALMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physicians Network CurrentSince Jul 1, 2022 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

420 Lowell Dr SE
Ste 404
Huntsville, AL 35801
Phone (256) 265-1775

420 Lowell Dr SE
Ste 201
Huntsville, AL 35801
Phone (256) 535-5944

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1174055214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21007",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358135007",
            "telephone_number": "256-801-6048",
            "fax_number": "256-801-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE STE 404",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013754",
            "telephone_number": "256-265-1175",
            "fax_number": "256-265-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Fannin St",
            "address_2": "Texas Children's Hospital-Clinical Care Center(Floor 9)",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302608",
            "country_code": "US",
            "telephone_number": "843-475-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSHUA",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D./PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "AL",
            "license": "MD.44407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.