NPIMap

Individual provider Active NPI

Jeremy Keith Smith, M.D.

  • Emergency Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1285015990
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
209737 Issued in NC
Practice address
170 Manning Dr
Physicians Office BLDG CB# 7594
Chapel Hill, NC 27599-7594
Phone
(919) 966-6442
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 209737 NC Primary

Addresses

Primary practice location

170 Manning Dr
Physicians Office BLDG CB# 7594
Chapel Hill, NC 27599-7594

Mailing address

170 Manning Dr
Physicians Office BLDG CB# 7594
Chapel Hill, NC 27599-7594
Phone (919) 966-6442

Other identifiers 1

IdentifierTypeStateIssuer
209737OtherNCNORTH CAROLINA MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009001933 NC Practitioner - Emergency Medicine 8527373612 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Geffen School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cfvhs Ed PhysiciansGroup PAC ID 2961316237, 27 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8780

Hospital & facility affiliations

  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209737NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bull City Physicians, PLLC Emergency Medicine CurrentSince Feb 20, 2021 Accepting new patients
Cfvhs Ed Physicians Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Cfvhs Ed Physicians Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Sandhills Emergency Physicians PA CurrentSince Mar 31, 2021 Accepting new patients
Gem Capital Physicians, PLLC Emergency Medicine CurrentSince Feb 20, 2021 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients
University of North Carolina at Chapel Hill Emergency Medicine CurrentSince Feb 2, 2021 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

Interoperability endpoints

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

Organizations & group practices 9

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1285015990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MANNING DR",
            "address_2": "PHYSICIANS OFFICE BLDG CB# 7594",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997594",
            "telephone_number": "919-966-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MANNING DR",
            "address_2": "PHYSICIANS OFFICE BLDG CB# 7594",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997594",
            "telephone_number": "919-966-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEREMY",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "209737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "209737",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.