Active NPI
James M. Smith, M.D.
- Family Medicine Physician
- Bastrop, LA
National Provider Identifier
1225065709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 014425
- Practice address
- 532 S Washington St
Bastrop, LA 71220-5033 - Phone
- (318) 283-3965
- Fax
- (318) 239-8965
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 014425 | LA | Primary |
Addresses
Primary practice location
532 S Washington St
Bastrop, LA 71220-5033
Mailing address
532 S Washington St
Bastrop, LA 71220-5033
Phone (318) 281-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1335789 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100618000012 | LA | Practitioner - Family Practice | 3870599772 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Parish Hospital Service District 1 | Family Medicine | Current | Accepting new patients |
| Morehouse General Hospital | Current | Accepting new patients | |
| Morehouse General Hospital | Current | Accepting new patients | |
| Tensas Community Health Center Inc. | Past | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
532 S Washington St
Bastrop, LA 71220
Phone (318) 281-5600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHHACD
- jmsmith@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Bastrop, LA
- NPI 1891013496
Family Medicine, LA
-
- Rural Health Clinic/Center
- Bastrop, LA
- NPI 1992207294
-
- Federally Qualified Health Center (FQHC)
- Vidalia, LA
- NPI 1235600990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1225065709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 S WASHINGTON ST",
"city": "BASTROP",
"state": "LA",
"postal_code": "712205033",
"telephone_number": "318-281-5600",
"fax_number": "318-283-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 S WASHINGTON ST",
"city": "BASTROP",
"state": "LA",
"postal_code": "712205033",
"telephone_number": "318-283-3965",
"fax_number": "318-239-8965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "014425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1335789",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.