Tony Dwayne Smith, D.O.
Individual provider Active NPI Family Medicine Physician · Pikeville, TN
NPI 1215078795 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1215078795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO1137 (TN)
- Practice address
- 71 Wheelertown Ave
Pikeville, TN 37367-5246 - Phone
- (423) 447-2112
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO1137 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians PC | Emergency Medicine | Past | Accepting new patients |
| Tennessee Em-I Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Crossroads Urgent Care PLLC | Family Medicine | Past | Accepting new patients |
| Hutcheson Primary Care, LLC | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO1137 | TN | |
| Family Medicine Physician | 207Q00000X | DO1137 | TN | Yes |
Addresses
Primary practice location
71 Wheelertown Ave
Pikeville, TN 37367-5246
Mailing address
708 Belvoir Ave
East Ridge, TN 37412-2604
Phone (423) 309-5088
Other providers in Pikeville, TN
- Eva Sawyer
- John Van Bradley Shanks
- Troy David Simpson
- Skills Training and Rehabilitation Services
- Michael Smith
- Dorothy Spafford
- Standefer Drug Center LLC
- Standefer Pharmacy
- Fred Joel Standefer Jr.
- State of Tennesseee
All providers in Pikeville, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.