Individual provider Active NPI

Lou M. Smith, M.D.

  • Surgical Critical Care Physician
  • Johnson City, TN
National Provider Identifier
1295778421
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
29384 Issued in TN
Practice address
410 N State of Franklin Rd Ste 130
Johnson City, TN 37604-6972
Phone
(423) 431-2477
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 29384 TN
Trauma Surgery Physician 2086S0127X MD0000029384 TN
Surgical Critical Care Physician 2086S0102X 29384 TN Primary

Addresses

Primary practice location

410 N State of Franklin Rd Ste 130
Johnson City, TN 37604-6972

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920
Phone (865) 544-9433

Other identifiers 3

IdentifierTypeStateIssuer
Q005015MedicaidTN
3339554MedicaidTN
1295778421MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20041004000835 TN Practitioner - General Surgery 8022077395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Alabama College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

325 N State of Franklin Rd
FL 3
Johnson City, TN 37604-6171
Phone (423) 439-7201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019241LAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
MD0000029384TNMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc Surgery CurrentSince Jul 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
University Health System, Inc Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jun 11, 2020 Accepting new patients
University Health System Inc CurrentSince Jul 1, 2020 Accepting new patients
Mountain States Health Alliance Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

410 N State of Franklin Rd
Ste 130
Johnson City, TN 37604
Phone (423) 431-2460

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920
Phone (865) 251-4658

Organizations & group practices 7

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1295778421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N STATE OF FRANKLIN RD STE 130",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046972",
            "telephone_number": "423-431-2477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1932 Alcoa Hwy",
            "address_2": "Ste 270",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37920",
            "country_code": "US",
            "telephone_number": "865-544-9433",
            "fax_number": "865-544-8688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LOU",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "29384",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TN",
            "license": "MD0000029384",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TN",
            "license": "29384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005015",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3339554",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295778421",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.