Individual provider Active NPI

James Ronald Smith II, M.D.

  • Emergency Medicine Physician
  • Bartow, FL
National Provider Identifier
1275504144
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME88216 Issued in FL
Practice address
2200 Osprey Blvd
Bartow, FL 33830-3308
Phone
(863) 519-1440
Fax
(863) 519-1432
NPI assigned
Jan 30, 2006
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 87202 SC
Emergency Medicine Physician 207P00000X ME88216 FL Primary

Addresses

Primary practice location

2200 Osprey Blvd
Bartow, FL 33830-3308

Mailing address

2200 Osprey Blvd
Bartow, FL 33830-3308
Phone (863) 519-1440

Other names 1

  • James Ronald Smith Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, NC, GA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040618000905 FL Practitioner - Emergency Medicine 6305821075 Reassigns benefits to 2 organizations
I20220517000195 SC Practitioner - Emergency Medicine 6305821075 Reassigns benefits to 1 organization
I20231114003573 NC Practitioner - Emergency Medicine 6305821075 Reassigns benefits to 1 organization
I20240517000877 GA Practitioner - Emergency Medicine 6305821075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Florida College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

162 Legacy PT
Clayton, GA 30525-5354
Phone (706) 782-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88216FLMDEmergency Medicine Physician
87202SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wales Emergency Physicians, LLC Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Edcare Consulting LLC Emergency Medicine CurrentSince Mar 18, 2022 Accepting new patients
Murphy Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 10, 2023 Accepting new patients
Professional Resources Management of Rabun, LLC CurrentSince May 1, 2024 Accepting new patients
Polk Emergency Group LLC Emergency Medicine CurrentSince Apr 15, 2006 Accepting new patients
Greater Newburyport Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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 1

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1275504144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OSPREY BLVD",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303308",
            "telephone_number": "863-519-1440",
            "fax_number": "863-519-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OSPREY BLVD",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303308",
            "telephone_number": "863-519-1440",
            "fax_number": "863-519-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "87202",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME88216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "SMITH",
            "middle_name": "RONALD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartow, FL

Sources for this page

Verify at the official NPI Registry.