Walter David Smith, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME135366 Issued in FL

Practice address

1940 Harrison Ave
Panama City, FL 32405-4542

Phone

(850) 763-0017

Fax

(850) 692-5862

NPI assigned

Aug 22, 2013

Last updated

Nov 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Psychiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit BHC West Virginia LLCGroup PAC ID 2860818499, 11 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit BHC West Virginia, LLC

  dba Highland Physicians Group

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1801411905
  Medicare reassignment Care Compare group NPD
• Smith Psychiatry PLLC

  dba Walter David Smith, MD

  • Psychiatry Physician
  • Reno, NV
  • NPI 1386283158
  NPD Authorized official
• Summit BHC West Virginia LLC

  dba Highland Hospital

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1427672336
  NPD

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1245664531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054542",
            "telephone_number": "850-763-0017",
            "fax_number": "850-692-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054542",
            "telephone_number": "850-763-0017",
            "fax_number": "850-692-5862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6940 Sierra Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895112209",
            "country_code": "US",
            "telephone_number": "775-393-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WALTER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "18267",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "T-2750",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME135366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07832520",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramada Sherice Smith, M.D.
• Stephen Gregory Smith, M.D.
• Theresa A Smith
• Thomas Woodrow Smith Jr., M.D.
• Tim M Smith, MD
• Joel Anderson Smithwick, MD
• Noah Thomas Smothers, M.S. CCC-SLP
• Snap 2 It Medical, PLLC
• Trethany Jean Snider, LCSW
• Rebecca Allen Snow, OTR L

• Psychiatry Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.