Timothy Ted Smith, D.O.
Individual provider Active NPI Family Medicine Physician · Clinton, NC
NPI 1225097496 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1225097496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9401340 (NC)
- Practice address
- 522 Beaman St
Clinton, NC 28328-2602 - Phone
- (910) 596-0093
- Fax
- (910) 596-2287
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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 LLC
Columbus Emergency Group LLC
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
- Vidant Duplin Hospital
- Sampson Regional Medical Center
- Columbus Regional Healthcare System
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 86.13
- Improvement activities
- 40
- Cost
- 79.44
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040812000724 | NC | Practitioner - Emergency Medicine |
3375515919 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Emergency Group LLC | Current |
Accepting new patients | |
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| County of Sampson | Current |
Accepting new patients | |
| County of Sampson | Current |
Accepting new patients | |
| Robeson Emergency Physicians, PLLC | Current |
Accepting new patients | |
| Quick Med Inc | Current |
Accepting new patients | |
| Hoke Emergency Group, PC | Current |
Accepting new patients | |
| The Carolinas Emergency Group, PLLC | Current |
Accepting new patients | |
| Coats Medical Clinic, PA | Past | Accepting new patients | |
| Carolina Coast Emergency Physicians LLC | Past | Accepting new patients | |
| Golden Grove Emergency Physicians | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9401340 | NC | Yes |
Addresses
Primary practice location
522 Beaman St
Clinton, NC 28328-2602
Mailing address
522 Beaman St
Clinton, NC 28328-2602
Phone (910) 596-0093
Other providers in Clinton, NC
- Smartseeds Inc.
- Jammie Smith
- John B. Smith Jr.
- Kristy Smith
- Monica Smith
- Tonita Bell Smith
- Sophia B Pierce & Associates Inc
- Shannon South
- Southeastern Medical Oncology Center
- Southeastern United Care
All providers in Clinton, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.