Individual provider Active NPI

Freda Rogers Smith, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1245758762
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-097337 Issued in AL
Practice address
5 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3513
Phone
(251) 433-3344
Fax
(251) 433-5708
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-097337 AL Primary

Addresses

Primary practice location

5 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3513

Mailing address

19144 Thompson Hall Rd
Fairhope, AL 36532-4762
Phone (251) 232-8570

Other practice location 1

100 Memorial Hospital Dr Ste 1A
Mobile, AL 36608-1128
Phone (251) 343-6848

Other practice location 2

6701 Airport Blvd Ste B135
Mobile, AL 36608-3794
Phone (251) 633-0573

Other practice location 3

5 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3513
Phone (251) 433-3344

Other practice location 4

6701 Airport Blvd Ste B135
Mobile, AL 36608-3794
Phone (251) 633-0573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726002628 AL Practitioner - Nurse Practitioner 8426305020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

3 Medical Park Dr
Fairhope, AL 36532-2084
Phone (251) 928-8804

Hospital & facility affiliations

  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • Baldwin Health Hospital, Foley, AL, CCN 010083

Merit-based Incentive Payment System (MIPS)

Final score
75.07 of 100Reported as group
Quality
63.22
Improvement activities
40
Cost
65.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-097337ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Care of the Eastern Shore, LLC CurrentSince Mar 1, 2019 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jun 1, 2025 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

3 Medical Park
Bldg 3
Fairhope, AL 36532

3 Medical Park
Fairhope, AL 36532
Phone (251) 928-8804

3 Medical Park Dr
Fairhope, AL 36532
Phone (251) 928-8804

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

5 Mobile Infirmary Cir
Ste 410
Mobile, AL 36607
Phone (251) 433-3344

Interoperability endpoints

  • Direct secure messaging: fsmith208767@directinfirmaryhealth.org

Organizations & group practices 3

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 & facility affiliations 6

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245758762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19144 THOMPSON HALL RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324762",
            "telephone_number": "251-232-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIR STE 410",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-433-3344",
            "fax_number": "251-433-5708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Memorial Hospital Dr Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081128",
            "country_code": "US",
            "telephone_number": "251-343-6848",
            "fax_number": "251-343-5708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Airport Blvd Ste B135",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083794",
            "country_code": "US",
            "telephone_number": "251-633-0573",
            "fax_number": "251-633-7367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Mobile Infirmary Cir Ste 410",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366073513",
            "country_code": "US",
            "telephone_number": "251-433-3344",
            "fax_number": "251-433-5708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Airport Blvd Ste B135",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083794",
            "country_code": "US",
            "telephone_number": "251-633-0573",
            "fax_number": "251-633-7367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FREDA",
        "middle_name": "ROGERS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-097337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.