NPIMap

Individual provider Active NPI

Kenny Smith, M.D.

  • Internal Medicine Physician
  • Gadsden, AL
National Provider Identifier
1295736460
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10741 Issued in AL
Practice address
760 Chestnut St
Gadsden, AL 35901-4147
Phone
(256) 543-1100
Fax
(256) 543-1101
NPI assigned
Aug 9, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10741 AL Primary

Addresses

Primary practice location

760 Chestnut St
Gadsden, AL 35901-4147

Mailing address

760 Chestnut St
Gadsden, AL 35901-4147
Phone (256) 543-1100

Other identifiers 1

IdentifierTypeStateIssuer
10741OtherALMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040410000092 AL Practitioner - Internal Medicine 2062405673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

760 Chestnut St
Gadsden, AL 35901-4147
Phone (256) 543-1100

811 Chestnut St
Gadsden, AL 35901-4032

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kenny E. Smith M.D.,PC Internal Medicine CurrentSince Aug 15, 1988 Accepting new patients
C.R. of Coosa Valley, LLC Past Accepting new patients
Gadsden Regional Medical Center LLC Past Accepting new patients
McGuffey Healthcare L.L.C Past Accepting new patients
Prime Healthcare Services - Gadsden LLC Past Accepting new patients

Locations

760 Chestnut St
Gadsden, AL 35901
Phone (256) 543-1100

Interoperability endpoints

  • Direct secure messaging: kenny.smith@kennsmth.direct.medconnect-inc.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
McGuffey Health & Rehabilitation CenterGadsden, AL, CCN 015202 Skilled nursing facility Adp of the SNF Dec 1, 2016

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 5

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 8

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295736460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 CHESTNUT ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014147",
            "telephone_number": "256-543-1100",
            "fax_number": "256-543-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CHESTNUT ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014147",
            "telephone_number": "256-543-1100",
            "fax_number": "256-543-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENNY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "10741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10741",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.