Robert Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04778 Issued in MS

Practice address

1134 Winter St
Jackson, MS 39204-2841

Phone

(601) 948-5572

Fax

(601) 353-7070

NPI assigned

Jun 30, 2006

Last updated

Jul 7, 2008By the provider in NPPES

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 MS

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

Specialty

Family Practice

Education

Howard University College of Medicine, 1961

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Mississippi Health Services, IncGroup PAC ID 2961398029, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
• Merit Health Central Hospital, Jackson, MS, CCN 250072

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1730120502

  W-2 Managing Employee

  CMS ownership
• Central Mississippi Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1356483283

  Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1730120502

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1003470758

  Family Medicine

  NPD
• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tougaloo, MS
  • NPI 1982746087

  Family Medicine

  NPD (past)
• University Family Medicine Associates, PLLC

  • Clinic/Center
  • Jackson, MS
  • NPI 1396846648
  NPD (past)

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

• Jackson Hma LLC

  dba Merit Health Central

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1033163092
  Care Compare affiliation
• Sta-Home Health Agency of Jackson, Inc.

  dba AccentCare Home Health of Jackson

  • Home Health Agency
  • Clinton, MS
  • NPI 1356482749
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1285663591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 WINTER ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042841",
            "telephone_number": "601-948-5572",
            "fax_number": "601-353-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 WINTER ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042841",
            "telephone_number": "601-948-5572",
            "fax_number": "601-353-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "04778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011675",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petrina Smith
• Rachel Smith
• Randall S Smith, MD
• Richard Nelson Smith, DMD
• Richard Steven Smith, M.D.
• Robert Allen Smith, M.D.
• Robert Harrison Smith, DNP, CRNA
• Rodrick Smith
• Roslyn Smith, LPC
• Samantha Smith, LCSW

• Family Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.