Colin Garrett Smith, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2681 Issued in TN

Practice address

315 N Washington Ave
Suite 265
Cookeville, TN 38501-2603

Phone

(931) 854-9432

Fax

(931) 854-9434

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Family Practice

Education

Edward Via Col of Osteo Medicine-Virginia Campus, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Father and Son Family Medicine Clinic, PLLCGroup PAC ID 4880906171, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Father and Son Family Medicine Clinic, PLLC

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1316334428
  Medicare reassignment Care Compare group NPD Authorized official
• Crossroads Treatment Centers of Tennessee, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Harriman, TN
  • NPI 1316403405
  Medicare reassignment
• Applegate Health Services of Tennessee, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Nashville, TN
  • NPI 1447961644
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1215223292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE",
            "address_2": "SUITE 265",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012603",
            "telephone_number": "931-854-9432",
            "fax_number": "931-854-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE",
            "address_2": "SUITE 265",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012603",
            "telephone_number": "931-854-9432",
            "fax_number": "931-854-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLIN",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008039",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Jo Smith-Rodriguez, MSN, FNP-C
• Anna Camille Smith, MA, BCBA
• Blakelee Paige Smith, MSN, APRN, AGPCNP-BC
• Brandon L. Smith, DDS
• Clarence William Smith
• Dana Michelle Smith
• Eric Smith, PT
• Heather Smith, LPC-MHSP
• Jennifer Powers Smith, RDN OR RD
• Jorie Smith, RBT

• Family Medicine Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.

Verify at the official NPI Registry.