Active NPI
Sarah Greer Smith, M.D.
- Dermatology Physician
- Memphis, TN
National Provider Identifier
1295955797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 55633
- Practice address
- 930 Madison Ave Ste 801
Memphis, TN 38103-3410 - Phone
- (901) 866-8605
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2007029454 | MO | |
| Dermatology Physician | 207N00000X | 43673 | KY | |
| Dermatology Physician | 207N00000X | 55633 | TN | Primary |
Addresses
Primary practice location
930 Madison Ave Ste 801
Memphis, TN 38103-3410
Mailing address
2775 Lombardy Ave Ste 989
Memphis, TN 38111-1921
Phone (859) 457-6865
Other practice location 1
930 Madison Ave Ste 801
Memphis, TN 38103-3410
Phone (901) 866-8605
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007029454 | MO | MD | Dermatology Physician |
| TP218 | KY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmg Dermatopathology, LLC | Current | Accepting new patients |
Locations
930 Madison Ave
Ste 890
Memphis, TN 38103
Phone (901) 866-8834
1407 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 866-8360
Interoperability endpoints
- sgsmd@skinmd.emadirect.md
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Memphis, TN
- NPI 1922343623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1295955797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 LOMBARDY AVE STE 989",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381111921",
"telephone_number": "859-457-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MADISON AVE STE 801",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033410",
"telephone_number": "901-866-8605"
}
],
"practiceLocations": [
{
"address_1": "930 Madison Ave Ste 801",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381033410",
"country_code": "US",
"telephone_number": "901-866-8605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "SARAH",
"middle_name": "GREER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "2007029454",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "KY",
"license": "43673",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "55633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.