Active NPI
Kerry Hamilton Smith, M.D.
- Internal Medicine Physician
- College Station, TX
National Provider Identifier
1194991141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J7379
- Practice address
- 1600 University Dr E
College Station, TX 77840-2642 - Phone
- (979) 691-3616
- Fax
- (979) 691-3622
- NPI assigned
- Apr 30, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J7379 | TX | Primary |
Addresses
Primary practice location
1600 University Dr E
College Station, TX 77840-2642
Mailing address
1600 University Dr E
College Station, TX 77840-2642
Phone (979) 691-3616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1194991141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY DR E",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778402642",
"telephone_number": "979-691-3616",
"fax_number": "979-691-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY DR E",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778402642",
"telephone_number": "979-691-3616",
"fax_number": "979-691-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KERRY",
"middle_name": "HAMILTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J7379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.