Individual provider Active NPI

Evan Dane Smothers, D.O.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1275875627
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1626 Issued in AL
Practice address
4600 Highway 280
Birmingham, AL 35242-5185
Phone
(205) 408-1231
Fax
(205) 481-1229
NPI assigned
Mar 25, 2013
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1626 AL Primary

Addresses

Primary practice location

4600 Highway 280
Birmingham, AL 35242-5185

Mailing address

1 W Lakeshore Dr Ste 100
Birmingham, AL 35209-7271
Phone (205) 547-3996

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831001182 AL Practitioner - Family Practice 2365738317 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Help PCGroup PAC ID 0648223602, 15 clinicians
Med Help 280 LLCGroup PAC ID 6800849860, 14 clinicians

Practice addresses (Care Compare)

1 W Lakeshore Dr
Birmingham, AL 35209-7271
Phone (205) 930-2950

4600 Hwy 280
Birmingham, AL 35242-5185
Phone (205) 408-1231

5915 Chalkville Mountain Rd
Suite 100
Birmingham, AL 35235-3354
Phone (205) 547-3920

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhelp Shelby, LLC Family Medicine CurrentSince Sep 24, 2017 Accepting new patients
Med Help 280 LLC CurrentSince Aug 1, 2016 Accepting new patients

Locations

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

151 Narrows Pkwy
Ste 110
Birmingham, AL 35242
Phone (205) 444-9550

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

3143 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

3170 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

Interoperability endpoints

  • Direct secure messaging: evan.smothers.1@17217.direct.athenahealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1275875627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097271",
            "telephone_number": "205-547-3996",
            "fax_number": "205-408-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HIGHWAY 280",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425185",
            "telephone_number": "205-408-1231",
            "fax_number": "205-481-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTHERS",
        "first_name": "EVAN",
        "middle_name": "DANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.