Active NPI
Alan Smith M.D. LLC
- Primary Care Clinic/Center
- St Petersburg, FL
National Provider Identifier
1194086124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME0044988
- Legal business name
- ALAN SMITH M.D. LLC
- Practice address
- 6500 1St Ave N
St Petersburg, FL 33710-8404 - Phone
- (727) 343-2741
- Fax
- (727) 343-2814
- NPI assigned
- Jun 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria Smith
- Title
- Practice Manager
- Phone
- (727) 343-2741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME0044988 | FL | Primary |
Addresses
Primary practice location
6500 1St Ave N
St Petersburg, FL 33710-8404
Mailing address
6500 1St Ave N
St Petersburg, FL 33710-8404
Phone (727) 343-2741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042850700 | Medicaid | FL |
Other names 1
- Pasadena Premier Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1769 66th St N
St Petersburg, FL 33710
Phone (727) 343-2741
6500 1st Ave N
St Petersburg, FL 33710
Phone (727) 343-2741
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1821130972
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1265060644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1194086124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337108404",
"telephone_number": "727-343-2741",
"fax_number": "727-343-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337108404",
"telephone_number": "727-343-2741",
"fax_number": "727-343-2814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN SMITH M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-06",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "727-343-2741"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME0044988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042850700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pasadena Premier Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.