Individual provider Active NPI

Johnathon Quintrell Smith, M.D.

  • Anesthesiology Physician
  • Montgomery, AL
National Provider Identifier
1205193067
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2026033455 Issued in MO
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

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, IL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20150824001961 AL Practitioner - AnesthesiologyPractitioner - Pain Management 9436465234 Reassigns benefits to 2 organizations
I20181012001510 GA Practitioner - Anesthesiology 9436465234 Reassigns benefits to 1 organization
I20221018000118 DC Practitioner - Anesthesiology 9436465234 Reassigns benefits to 2 organizations
I20250227001754 NM Practitioner - Anesthesiology 9436465234 Reassigns benefits to 1 organization
I20260623000604 IL Practitioner - Anesthesiology 9436465234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Las Cruces HB Medical Services LLCGroup PAC ID 8123473600, 157 clinicians
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

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

LicenseStateTypeSpecialty
MD.34266ALMDAnesthesiology Physician
MD2022-0385NMMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Anesthesiology LLC Anesthesiology Current Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Las Cruces HB Medical Services LLC CurrentSince Dec 23, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Premier Anesthesia of Montgomery PC Anesthesiology CurrentSince Jun 8, 2015 Accepting new patients
Southern Alabama Surgery Center LLC Anesthesiology CurrentSince Jul 6, 2015 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiology CurrentSince Apr 6, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.