Larry C Smith II, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18842 Issued in SC

Practice address

172 McSwain Drive
Suite a
West Columbia, SC 29169

Phone

(800) 809-1265

Fax

(803) 771-7782

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Practice roles

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.

• Winyah Home Health Care, LLC

  • Home Health Agency
  • West Columbia, SC
  • NPI 1003227331
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194737122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 SANDWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292062222",
            "telephone_number": "800-809-1265",
            "fax_number": "803-771-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MCSWAIN DRIVE",
            "address_2": "SUITE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "800-809-1265",
            "fax_number": "803-771-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LARRY",
        "middle_name": "C",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "18842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T27824",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Steele Smith, PTA
• Jeffrey K Smith, M.D.
• Joseph Blake Smith
• Katie Ann Smith, DPT
• Kimberly Jo Smith, ADC
• Mary Douglass Smith, PHARMD
• Mindy Allison Smith, APRN
• Paul D Smith, MD
• Richard Jackson Smith, DO
• Robert Morris Smith, M.D.

• Pediatrics Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Pediatrics 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.