Individual provider Active NPI

Justin William Smith, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Pensacola, FL
National Provider Identifier
1245556307
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME.157573 Issued in FL
Practice address
8333 N Davis Hwy FL 4
Pensacola, FL 32514-6050
Phone
(850) 969-7979
Fax
(850) 476-9352
NPI assigned
Apr 14, 2010
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD.38191 AL
Clinical Cardiac Electrophysiology Physician 207RC0001X ME.157573 FL Primary

Addresses

Primary practice location

8333 N Davis Hwy FL 4
Pensacola, FL 32514-6050

Mailing address

8333 N Davis Hwy FL 4
Pensacola, FL 32514-6050
Phone (850) 969-7979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220727002864 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 9335382415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Mercer University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Physicians LLCGroup PAC ID 3072760891, 12 clinicians

Practice addresses (Care Compare)

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 969-7979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
94.22
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair84
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.38191ALMDClinical Cardiac Electrophysiology Physician
ME.157573FLMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Cardiology Physicians, LLC CurrentSince Jul 13, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs PastSince May 22, 2019 Accepting new patients

Locations

4252 Woodbine Rd
Pace, FL 32571
Phone (850) 494-6003

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: justin.smith@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1245556307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY FL 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-969-7979",
            "fax_number": "850-476-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY FL 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-969-7979",
            "fax_number": "850-476-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUSTIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2022-12-20",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AL",
            "license": "MD.38191",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME.157573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.