NPIMap

Individual provider Active NPI

Timothy Ted Smith, D.O.

  • Family Medicine Physician
  • Clinton, NC
National Provider Identifier
1225097496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9401340 Issued in NC
Practice address
522 Beaman St
Clinton, NC 28328-2602
Phone
(910) 596-0093
Fax
(910) 596-2287
NPI assigned
Mar 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 9401340 NC Primary

Addresses

Primary practice location

522 Beaman St
Clinton, NC 28328-2602

Mailing address

522 Beaman St
Clinton, NC 28328-2602
Phone (910) 596-0093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000724 NC Practitioner - Emergency MedicinePractitioner - Family Practice 3375515919 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Columbus Emergency Group LLCGroup PAC ID 2961560446, 19 clinicians

Practice addresses (Care Compare)

340 Northeast Blvd B
Clinton, NC 28328-2424
Phone (910) 596-0093

360 County Complex Rd
Suite 200
Clinton, NC 28328-4778
Phone 91059211314961

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
86.13
Improvement activities
40
Cost
79.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoke Emergency Group, PC CurrentSince Aug 18, 2017 Accepting new patients
County of Sampson CurrentSince Nov 19, 2019 Accepting new patients
The Carolinas Emergency Group, PLLC CurrentSince Jul 1, 2008 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 14, 2026 Accepting new patients
Columbus Emergency Group LLC CurrentSince Jan 17, 2022 Accepting new patients
Quick Med Inc CurrentSince Apr 19, 2007 Accepting new patients
County of Sampson CurrentSince Nov 19, 2019 Accepting new patients
Robeson Emergency Physicians, PLLC CurrentSince Aug 5, 2018 Accepting new patients
Coats Medical Clinic, PA Past Accepting new patients
Golden Grove Emergency Physicians Past Accepting new patients
Carolina Coast Emergency Physicians LLC Past Accepting new patients

Locations

360 County Complex Rd
Ste 200
Clinton, NC 28328
Phone (910) 592-1131

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225097496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282602",
            "telephone_number": "910-596-0093",
            "fax_number": "910-596-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282602",
            "telephone_number": "910-596-0093",
            "fax_number": "910-596-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIMOTHY",
        "middle_name": "TED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9401340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.