Gary A Smith, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3003886 Issued in KY

Practice address

1710 Hwy 121 N. Bypass
Suite I
Murry, KY 42071

Phone

(270) 226-1118

Fax

(270) 226-1119

NPI assigned

Oct 25, 2005

Last updated

May 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nebben Physical Medicine, LLC

  • General Practice Physician
  • Clarksville, TN
  • NPI 1114317260
  Medicare reassignment NPD
• Advanced Spine & Joint

  • Family Nurse Practitioner
  • Paducah, KY
  • NPI 1447484118
  NPD (past)
• Kentucky Addiction Centers Paintsville, LLC

  • Family Medicine Physician
  • Paintsville, KY
  • NPI 1922684307
  NPD (past)
• New Life Treatment Center, LLP

  • Addiction Medicine (Anesthesiology) Physician
  • Kuttawa, KY
  • NPI 1396282067
  NPD (past)
• Nebben Chiropractic Center

  dba Loren W Nebben

  • Chiropractor
  • Clarksville, TN
  • NPI 1679889927
  NPD (past)
• Orthopaedic Clinic of Monroe

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Monroe, LA
  • NPI 1003337478
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1225028897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636961",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636961",
            "telephone_number": "513-981-5130",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HWY 121 N. BYPASS",
            "address_2": "SUITE I",
            "city": "MURRY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-226-1118",
            "fax_number": "270-226-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GARY",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003886",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003886",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000732995",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100157310",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00956479",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.