Active NPI
Johnathon Quintrell Smith, M.D.
- Anesthesiology Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2026033455
- Practice address
- 2105 E South Blvd
Montgomery, AL 36116-2409 - Phone
- (334) 288-2100
- NPI assigned
- Apr 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2026033455 | MO | Primary |
| Anesthesiology Physician | 207L00000X | 0101282606 | VA | |
| Anesthesiology Physician | 207L00000X | MD.34266 | AL | |
| Anesthesiology Physician | 207L00000X | MD2022-0385 | NM |
Addresses
Primary practice location
2105 E South Blvd
Montgomery, AL 36116-2409
Mailing address
115 N Beatty St Apt 305
Pittsburgh, PA 15206-3058
Phone (404) 862-7929
Other practice location 1
101 Hospital Center Blvd
Stafford, VA 22554-6200
Phone (540) 741-7614
Other practice location 2
1201 Sam Perry Blvd Ste 101
Fredericksburg, VA 22401-4490
Phone (540) 741-7614
Other practice location 3
100 Entrance Way
Saint Peters, MO 63376-1645
Phone (636) 916-9000
Other practice location 4
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-7614
Other practice location 5
10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (636) 916-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA, DC, NM, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7455
6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.34266 | AL | MD | Anesthesiology Physician |
| MD2022-0385 | NM | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Las Cruces HB Medical Services LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Premier Anesthesia of Montgomery PC | Anesthesiology | Current | Accepting new patients |
| Southern Alabama Surgery Center LLC | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of Georgia LLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients |
Locations
2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
Interoperability endpoints
- johnathon.smith@direct.baptistfirst.org
Organizations & group practices 9
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.
-
dba MountainView Regional Medical Center
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1598446171
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
-
dba Surgery Center South
- Ambulatory Surgical Clinic/Center
- Dothan, AL
- NPI 1346349164
Anesthesiology
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
DC
-
- Anesthesiology Physician
- Snellville, GA
- NPI 1811403207
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
- Hospitalist Physician
- Washington, DC
- NPI 1770198301
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mountainview Regional Medical Center
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1205193067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N BEATTY ST APT 305",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063058",
"telephone_number": "404-862-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E SOUTH BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361162409",
"telephone_number": "334-288-2100"
}
],
"practiceLocations": [
{
"address_1": "101 Hospital Center Blvd",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "VA",
"postal_code": "225546200",
"country_code": "US",
"telephone_number": "540-741-7614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Sam Perry Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014490",
"country_code": "US",
"telephone_number": "540-741-7614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Entrance Way",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633761645",
"country_code": "US",
"telephone_number": "636-916-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Sam Perry Blvd",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014453",
"country_code": "US",
"telephone_number": "540-741-7614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633761659",
"country_code": "US",
"telephone_number": "636-916-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JOHNATHON",
"middle_name": "QUINTRELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "MO",
"license": "2026033455",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101282606",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "MD.34266",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "MD2022-0385",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.