Sean Amery Scott Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2006-01012 Issued in NC

Practice address

3100 Erwin Rd
Durham, NC 27705-4505

Phone

(336) 293-3372

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_ssmit737@landmarkhealth-direct.org

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.

• Landmark Medical of North Carolina PC

  • General Practice Physician
  • Durham, NC
  • NPI 1326547514
  Medicare reassignment NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Columbia, SC
  • NPI 1003531567
  Medicare reassignment NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Westbrook, ME
  • NPI 1982310439
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1255349064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409N ESTES DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147630",
            "telephone_number": "336-543-8355",
            "fax_number": "919-537-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054505",
            "telephone_number": "336-293-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SEAN",
        "middle_name": "AMERY SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-01012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2006-01012",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberts H.a. Smith, MD
• Rose Howard Smith, RN
• Samantha Alexandra Smith
• Samantha Lynn Smith, NNP-BC
• Sarah Smith, LMBT
• Selma Smith, NCC, LPC
• Shakirah Essence Smith
• Shannon Elizabeth Smith, MSW, LCSW
• Stephanie Smith, RN
• Stephen Richard Smith, M.D.

• Family Medicine Physician in Durham, NC
• Providers in Durham, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.