Individual provider Active NPI

Denise Anne Smith, M.D., PH.D.

  • Vascular Surgery Physician
  • Crestview, FL
National Provider Identifier
1295969947
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
95608 Issued in GA
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

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171030001041 FL Practitioner - Vascular Surgery 2668611757 Reassigns benefits to 1 organization
I20200824002314 OH Practitioner - Vascular Surgery 2668611757 Reassigns benefits to 1 organization
I20230622000766 GA Practitioner - Vascular Surgery 2668611757 Reassigns benefits to 1 organization

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
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343

Hospital & facility affiliations

  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.77

Merit-based Incentive Payment System (MIPS)

Final score
89.95 of 100Reported as group
Quality
86.57
Improvement activities
40
Cost
51.09

Merit-based Incentive Payment System (MIPS)

Final score
98.33 of 100Reported as group
Quality
76.66
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal23
Leg revascularization (restoring blood flow)24
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A131396CAMDVascular Surgery Physician
ME129104FLMDVascular Surgery Physician
D0089278MDMDVascular Surgery Physician
0101269130VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Vascular Services Northeast Vascular Surgery CurrentSince Jul 10, 2023 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 12, 2020 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Vascular Surgery CurrentSince Sep 1, 2020 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 12, 2020 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 PastSince Apr 21, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.