Individual provider Active NPI

Jeffrey Scott Smith, MD

  • Orthopaedic Surgery Physician
  • Granbury, TX
National Provider Identifier
1295749877
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K3476 Issued in TX
Practice address
1200 Crawford Ave
Granbury, TX 76048-4561
Phone
(817) 598-8120
Fax
(833) 992-2010
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X K3476 TX
Orthopaedic Surgery Physician 207X00000X K3476 TX Primary

Addresses

Primary practice location

1200 Crawford Ave
Granbury, TX 76048-4561

Mailing address

2814 French Kingston CT
Granbury, TX 76049-5445
Phone (817) 598-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070917000674 TX Practitioner - Orthopedic Surgery 3971595208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Geffen School of Medicine, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

215 Chisholm TRL
Jacksboro, TX 76458-1403
Phone (817) 598-8120

Hospital & facility affiliations

  • Faith Community Hospital Hospital, Jacksboro, TX, CCN 450241
  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Spinal fusion80
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3476TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jack County Hospital District CurrentSince Jan 14, 2021 Accepting new patients
Jack County Hospital District CurrentSince Jan 14, 2021 Accepting new patients
Weatherford Anesthesia Associates, PA Past Accepting new patients

Locations

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

Interoperability endpoints

  • Direct secure messaging: jeffrey.smith.1@22488.direct.athenahealth.com
  • Direct secure messaging: jsmith@direct.fchtexas.com
  • Direct secure messaging: jeffrey.smith.1@11284.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1295749877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 FRENCH KINGSTON CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760495445",
            "telephone_number": "817-598-8120",
            "fax_number": "682-936-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CRAWFORD AVE",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484561",
            "telephone_number": "817-598-8120",
            "fax_number": "833-992-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "K3476",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K3476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.