John Kevin Smith Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

BP10064502 Issued in TX

Practice address

1405 Cowart St Ste 301
Chattanooga, TN 37408-1179

Phone

(800) 950-0492

NPI assigned

Jun 19, 2018

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1306330790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 COWART ST STE 301",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 COWART ST STE 301",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081179",
            "telephone_number": "800-950-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "KEVIN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10064502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Gregory Smith, MD
• Jennifer K Smith, D.C.
• Jeremiah Shane Smith, NP
• Jerry Lee Smith, MD
• Jessica Allaway Smith, MD
• Jonathan Hillel Smith, LCSW
• Josh M Smith, MD
• Joshua Smith, LMSW
• Joyce Victoria Smith, LPN
• Julia Denise Smith, REGISTERED NURSE

• Surgery Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.