Active NPI
Denise Anne Smith, M.D., PH.D.
- Vascular Surgery Physician
- Crestview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 95608
- Practice address
- 332 Medcrest Dr
Crestview, FL 32536-6440 - Phone
- (850) 682-0032
- Fax
- (850) 682-0034
- NPI assigned
- May 11, 2009
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A131396 | CA | |
| Vascular Surgery Physician | 2086S0129X | ME129104 | FL | |
| Vascular Surgery Physician | 2086S0129X | 95608 | GA | Primary |
| Vascular Surgery Physician | 2086S0129X | 0101269130 | VA | |
| Vascular Surgery Physician | 2086S0129X | D0089278 | MD | |
| Vascular Surgery Physician | 2086S0129X | 35.099103 | OH |
Addresses
Primary practice location
332 Medcrest Dr
Crestview, FL 32536-6440
Mailing address
332 Medcrest Dr
Crestview, FL 32536-6440
Phone (850) 682-0032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Cincinnati College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343
Hospital & facility affiliations
- North Okaloosa Medical Center
- HCA Florida Fort Walton-Destin Hospital
- Sacred Heart Hospital on the Emerald Coast
- HCA Florida Twin Cities Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 93.77
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.95 of 100
- Quality
- 86.57
- Improvement activities
- 40
- Cost
- 51.09
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.33 of 100
- Quality
- 76.66
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 23 |
| Leg revascularization (restoring blood flow) | 24 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A131396 | CA | MD | Vascular Surgery Physician |
| ME129104 | FL | MD | Vascular Surgery Physician |
| D0089278 | MD | MD | Vascular Surgery Physician |
| 0101269130 | VA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Vascular Services Northeast | Vascular Surgery | Current | Accepting new patients |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Cardiothoracic & Vascular Surgical Associates PA | Vascular Surgery | Current | Accepting new patients |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Atlanta Family Foot Care, LLC | Past | Accepting new patients |
Locations
332 Medcrest Dr
Crestview, FL 32536
Phone (850) 226-7322
332 Medcrest Dr
#B
Crestview, FL 32536
Phone (850) 652-9122
1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343
9140 Corsea del Fontana Way
Naples, FL 34109
Phone (239) 597-2010
4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619
2631 Centennial Blvd
Tallahassee, FL 32308
Phone (850) 702-0579
2631 Centennial Blvd
Ste 100
Tallahassee, FL 32308
Phone (850) 877-8539
3885 Princeton Lakes Way SW
Ste 314
Atlanta, GA 30331
Phone (404) 349-7770
1 Dunwoody Park
Ste 140
Atlanta, GA 30338
Phone (404) 554-2080
1 Dunwoody Park
Ste 130
Dunwoody, GA 30338
Phone (404) 554-2080
5461 Hillandale Dr
Ste 210
Lithonia, GA 30058
Phone (770) 981-8477
889 2nd St
Macon, GA 31201
Phone (478) 254-9363
711 Canton Rd NE
Ste 230
Marietta, GA 30060
Phone (404) 554-2196
711 Canton Rd NE
Ste 220
Marietta, GA 30060
Phone (404) 554-2196
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
2350 Miami Valley Dr
Ste 300
Centerville, OH 45459
Phone (937) 438-8640
3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CIEDBD
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.
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
Vascular Surgery
-
- Vascular Surgery Physician
- Atlanta, GA
- NPI 1780184218
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Podiatric Clinic/Center
- Atlanta, GA
- NPI 1700291069
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1295969947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 MEDCREST DR",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325366440",
"telephone_number": "850-682-0032",
"fax_number": "850-682-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 MEDCREST DR",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325366440",
"telephone_number": "850-682-0032",
"fax_number": "850-682-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DENISE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A131396",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME129104",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "95608",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101269130",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MD",
"license": "D0089278",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OH",
"license": "35.099103",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.
- 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.