Active NPI
Nicholas Brett Smith, MD
- Family Medicine Physician
- Georgetown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40228
- Practice address
- 1502 Oxford Dr Ste 100
Georgetown, KY 40324-8096 - Phone
- (502) 570-3785
- NPI assigned
- May 17, 2006
- Last updated
- Jun 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 45319 | TN | |
| Family Medicine Physician | 207Q00000X | 0101253346 | VA | |
| Family Medicine Physician | 207Q00000X | 40228 | KY | Primary |
Addresses
Primary practice location
1502 Oxford Dr Ste 100
Georgetown, KY 40324-8096
Mailing address
4600 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 224-3950
Other practice location 1
4600 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 224-3950
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01758949 | Other | TN | RAILROAD MEDICARE |
| 1194777953 | Medicaid | VA | |
| 1515572 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1502 Oxford Dr
Suite 100
Georgetown, KY 40324-8096
Phone (502) 570-3785
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40228 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Blue Ridge Medical Managgement Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Family Medicine | Current | Accepting new patients |
| The Medical Center at Franklin ER Physicians | Past | Accepting new patients | |
| Kentucky Mso LLC | Past | Accepting new patients |
Locations
105 Prather Path
Ste 1200
Georgetown, KY 40324
Phone (502) 570-3785
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660
1502 Oxford Dr
Ste 100
Georgetown, KY 40324
Phone (502) 570-3785
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
1497 W Elk Ave
Ste 11
Elizabethton, TN 37643
Phone (423) 542-7480
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
314 Rogosin Dr
Elizabethton, TN 37643
Phone (423) 433-6630
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867
395 Forest Cir
Ste 100
Jonesborough, TN 37659
Phone (423) 753-0721
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
4600 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 224-3950
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
603 Campus Dr
#100
Abingdon, VA 24210
Phone (276) 628-4406
Interoperability endpoints
- nicholas.smith.1@19475.direct.athenahealth.com
Organizations & group practices 10
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.
-
dba Gastroenterology and Hepatology of the Bluegrass
- Gastroenterology Physician
- Georgetown, KY
- NPI 1164867883
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
Family Medicine
-
dba Central Kentucky Oncology and Hematology
- Hematology & Oncology Physician
- Georgetown, KY
- NPI 1336483957
-
dba Centerpoint Family Medicine - Lawrenceburg
- Rural Health Clinic/Center
- Lawrenceburg, KY
- NPI 1922860758
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Kingsport, TN
- NPI 1649518309
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Emergency Medicine Physician
- Franklin, KY
- NPI 1417904483
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gerogetown Community Hospital
- Rural Acute Care Hospital
- Georgetown, KY
- NPI 1326107319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1194777953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 FORT HENRY DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37663",
"telephone_number": "423-224-3950",
"fax_number": "423-224-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 OXFORD DR STE 100",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248096",
"telephone_number": "502-570-3785"
}
],
"practiceLocations": [
{
"address_1": "4600 Fort Henry Dr",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "37663",
"country_code": "US",
"telephone_number": "423-224-3950",
"fax_number": "423-224-3959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "NICHOLAS",
"middle_name": "BRETT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "45319",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101253346",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "40228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01758949",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194777953",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1515572",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.