Active NPI
Thomas Woodrow Smith Jr., M.D.
- Family Medicine Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME58812
- Practice address
- 425 W 19TH St
Panama City, FL 32405-4659 - Phone
- (850) 344-1433
- NPI assigned
- May 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME58812 | FL | Primary |
Addresses
Primary practice location
425 W 19TH St
Panama City, FL 32405-4659
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME58812 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pancare of Florida, Inc | Current | Accepting new patients | |
| Pancare of Florida, Inc | Current | Accepting new patients | |
| Pancare of Florida, Inc | Past | Accepting new patients |
Locations
11033 NW State Road 20
Bristol, FL 32321
Phone (850) 643-1155
2309 E 15th St
Panama City, FL 32405
Phone (850) 747-5272
403 E 11th St
Panama City Beach, FL 32401
Phone (850) 747-5599
2475 Garrison Ave
Port St Joe, FL 32456
Phone (850) 227-1276
Interoperability endpoints
- thomas.smith@sl.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- Community/Retail Pharmacy
- Panama City, FL
- NPI 1336704196
-
- Federally Qualified Health Center (FQHC)
- Panama City, FL
- NPI 1366456287
-
- Federally Qualified Health Center (FQHC)
- Bristol, FL
- NPI 1275346108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1194935825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "800-480-5243",
"fax_number": "800-928-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W 19TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054659",
"telephone_number": "850-344-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "THOMAS",
"middle_name": "WOODROW",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME58812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.