Robert Evan Smallwood, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

86379 Issued in GA

Practice address

1301 Hodges Dr
Tallahassee, FL 32308-4614

Phone

(850) 431-5430

NPI assigned

Jun 1, 2018

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

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southland Consolidated Emergency Services LLC 68 clinicians

Hospital Authority of the City of Bainbridge and Decatur County 22 clinicians

Southland Bainbridge Hospitalist Group, LLC 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital and Manor Hospital, Bainbridge, GA, CCN 110132
• Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
• Memorial Hospital and Manor Nursing home, CCN 11U132

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256

  GA

  Medicare reassignment Care Compare group NPD
• Southland Bainbridge Hospitalist Group, LLC

  • Hospitalist Physician
  • Bainbridge, GA
  • NPI 1356735336

  GA

  Medicare reassignment Care Compare group NPD
• Southland Consolidated Emergency Services, LLC

  • Emergency Medicine Physician
  • Elberton, GA
  • NPI 1174917124

  GA

  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180

  FL

  Medicare reassignment NPD
• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857

  FL

  Medicare reassignment NPD
• Southland Emergency Medical Services, L.L.C

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1477701472

  GA

  Medicare reassignment NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Durable Medical Equipment & Medical Supplies
  • Bainbridge, GA
  • NPI 1801901723
  Care Compare group
• Hospital Authority of the City of Bainbridge and Decatur County

  • Skilled Nursing Facility
  • Bainbridge, GA
  • NPI 1881683324
  Care Compare group
• Hospital Authority of the City of Bainbridge and Decatur County Georgi

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1548788771
  NPD

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

• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256

  Hospital

  Care Compare affiliation
• John D Archbold Memorial Hospital Inc

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702

  Hospital

  Care Compare affiliation
• John D. Archbold Memorial Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Thomasville, GA
  • NPI 1104867738

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1225520679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084614",
            "telephone_number": "850-431-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "ROBERT",
        "middle_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "86379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garret Nathaniel Sloan, MA
• Christina Mann Slotter, APRN
• Small Talk SLP LLC
• Charlene Small, DNP, ARNP-C
• Mary Claire Smallwood, MD
• Kristin Joy Smaltino
• Jenneise Smart
• Annie Smelt, APRN
• Smileworks , PLLC
• Lavonia Smiley Jordan, PMHNP-BC

• All providers in Tallahassee, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.