Individual provider Active NPI

James M. Smith, M.D.

  • Family Medicine Physician
  • Bastrop, LA
National Provider Identifier
1225065709
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
014425 Issued in LA
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

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1335789MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000012 LA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3870599772 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Parish Hospital Service District 1 Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Morehouse General Hospital CurrentSince Mar 20, 2010 Accepting new patients
Morehouse General Hospital CurrentSince Mar 20, 2010 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHHACD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.