Mary Claire Smallwood, MD

Individual provider Active NPI Family Medicine Physician · Tallahassee, FL

NPI 1306338751 · NPPES record last updated Dec 14, 2021

Key facts

NPI
1306338751
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
89729 (GA)
Practice address
1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone
(850) 431-5430
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Authority of the City of Bainbridge and Decatur County (22 clinicians)

Practice addresses (Care Compare)

505 Amelia Ave
Bainbridge, GA 39819-4355
Phone (229) 243-1700

Hospital & facility affiliations

  • Centerwell Home Health Home health agency · Bainbridge, GA · CCN 117151
  • Memorial Hospital and Manor Hospital · Bainbridge, GA · CCN 110132
  • Donalsonville Hospital Inc Hospital · Donalsonville, GA · CCN 110194

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210903001034 GA Practitioner - Family Practice 0143653881 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89729GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of the City of Bainbridge and Decatur County Current
since Sep 1, 2021
Accepting new patients
Sciometrix Inc Current
since Dec 20, 2025
Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Georgi Current
since Sep 1, 2021
Accepting new patients

Locations

1301 Hodges Dr
Tallahassee, FL 32308
Phone (850) 431-5430

505 Amelia Ave
Bainbridge, GA 39819
Phone (229) 243-6900

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

Interoperability endpoints

  • Direct secure messaging: mary.smallwood@mh-m.gadirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 89729 GA Yes

Addresses

Primary practice location

1301 Hodges Dr
Tallahassee, FL 32308-4614

Mailing address

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 246-3500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 14, 2021.

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1306338751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194256",
            "telephone_number": "229-246-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084614",
            "telephone_number": "850-431-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "MARY CLAIRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "89729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

All providers in Tallahassee, FL · Family Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.