Active NPI
Patrick Brent Smith, M.D.
- Family Medicine Physician
- Boyle, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21265
- Practice address
- 345 Laughlin Rd
Boyle, MS 38730-8802 - Phone
- (662) 719-6020
- Fax
- (662) 725-6250
- NPI assigned
- Jul 6, 2009
- Last updated
- Nov 7, 2024
- 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 | 21265 | MS | Primary |
Addresses
Primary practice location
345 Laughlin Rd
Boyle, MS 38730-8802
Mailing address
803 1St St
Cleveland, MS 38732-2309
Phone (662) 843-2721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05402200 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 E Union St
Greenville, MS 38703-3246
Phone (662) 378-3783
1693 Fairgrounds Rd
Greenville, MS 38703-7810
Phone (662) 378-3783
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 |
|---|---|---|---|
| 21265 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Sunflower Medical Center | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| Correct Care, Inc. | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| North Sunflower Medical Center | Current | Accepting new patients | |
| Delta Medical Group | Family Medicine | Current | Accepting new patients |
| North Sunflower Medical Center | Family Medicine | Current | Accepting new patients |
| South Sunflower County Hospital | Current | Accepting new patients | |
| Delta Health System | Past | Accepting new patients | |
| Delta Health System | Past | Accepting new patients | |
| Delta Physician Practices | Past | Accepting new patients | |
| Delta Physician Practices | Past | Accepting new patients |
Locations
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783
27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000
121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113
202 S Ruby Ave
Ruleville, MS 38771
Phone (662) 756-2500
840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711
409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060
Interoperability endpoints
- smith_patrick_brent_md@yourcarecommunity.org
Organizations & group practices 14
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 Cleveland Medical Clinic
- Family Medicine Physician
- Cleveland, MS
- NPI 1891705133
-
- General Acute Care Hospital
- Indianola, MS
- NPI 1184679292
-
dba Sunflower Greenwood Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Greenwood, MS
- NPI 1730903287
-
- Family Nurse Practitioner
- Indianola, MS
- NPI 1336706803
-
- Anesthesiology Physician
- Indianola, MS
- NPI 1407064454
-
dba Delta Surgical Clinic
- Clinic/Center
- Indianola, MS
- NPI 1487685897
-
- Advanced Practice Midwife
- Indianola, MS
- NPI 1962395863
-
dba Delta Health-The Medical Center
- Rural Acute Care Hospital
- Greenville, MS
- NPI 1306921887
-
dba Delta Health-The Medical Center
- Home Health Agency
- Greenville, MS
- NPI 1477651362
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Greenville, MS
- NPI 1184232498
Hospital
-
dba Delta Health-The Medical Center
- Rural Acute Care Hospital
- Greenville, MS
- NPI 1306921887
-
dba Delta Health-The Medical Center
- Home Health Agency
- Greenville, MS
- NPI 1477651362
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Clarksdale, MS
- NPI 1578171872
Hospital
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Cleveland, MS
- NPI 1972112183
Hospital
-
- Home Health Agency
- Belzoni, MS
- NPI 1649295684
-
- General Acute Care Hospital
- Indianola, MS
- NPI 1184679292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1205065810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 1ST ST",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322309",
"telephone_number": "662-843-2721",
"fax_number": "662-846-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 LAUGHLIN RD",
"city": "BOYLE",
"state": "MS",
"postal_code": "387308802",
"telephone_number": "662-719-6020",
"fax_number": "662-725-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PATRICK",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-06",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "21265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05402200",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boyle, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.