Individual provider Active NPI

Clinton R. Smith, M.D.

  • Diagnostic Radiology Physician
  • Jackson, MS
National Provider Identifier
1306870662
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18558 Issued in MS
Practice address
1225 N State St Ste 100
Jackson, MS 39202-2064
Phone
(601) 714-6400
Fax
(601) 714-6499
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 18558 MS Primary

Addresses

Primary practice location

1225 N State St Ste 100
Jackson, MS 39202-2064

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

220 Highway 12 W
Kosciusko, MS 39090-3208
Phone (662) 290-3315

Other practice location 2

100 Hospital St
Booneville, MS 38829-3354
Phone (662) 538-2110

Other practice location 3

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6611

Other practice location 4

200 State Highway 30 W
New Albany, MS 38652-3112
Phone (662) 538-7631

Other practice location 5

1100 Highway 16 E
Carthage, MS 39051-4222
Phone (601) 267-1100

Other practice location 6

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261

Other practice location 7

1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-5003

Other practice location 8

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 513-1609

Other practice location 9

400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 323-4230

Other practice location 10

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other practice location 11

1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000

Other practice location 12

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 226-4910

Other practice location 13

2520 5th St N
Columbus, MS 39705-2008
Phone (662) 244-1670

Other practice location 14

401 Baptist Dr Ste 100
Madison, MS 39110-2012
Phone (601) 974-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000240 MS Practitioner - Diagnostic Radiology 2668565789 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Mississippi School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiological Group, PAGroup PAC ID 7810969607, 12 clinicians
Mississippi Hma Hospitalists LLCGroup PAC ID 5991972077, 55 clinicians

Practice addresses (Care Compare)

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

1225 N State St
Suite 2C Radiology Department
Jackson, MS 39202-2073
Phone (601) 968-1000

350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (601) 824-8501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Hma Hospitalists, LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Radiological Group, PA CurrentSince Dec 26, 2018 Accepting new patients
Oxford Pre Op & Imaging Center LLC CurrentSince Sep 29, 2018 Accepting new patients
Premier Radiology, Inc Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients

Locations

202 Hospital St
Moulton, AL 35650
Phone (256) 974-2200

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

1225 N State St
Ste 100
Jackson, MS 39202
Phone (601) 360-8067

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1225 N State St
Ste 2C
Jackson, MS 39202
Phone (601) 968-1000

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

1202 Office Park Dr
Ste A
Oxford, MS 38655
Phone (662) 234-5545

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

891 Mississippi Dr
Tupelo, MS 38804
Phone (662) 377-6800

320 S Gloster St
Tupelo, MS 38801
Phone (662) 821-1831

616 Crossover Rd
Tupelo, MS 38801
Phone (662) 377-6820

620 Crossover Rd
#A
Tupelo, MS 38801

620 Crossover Rd
Tupelo, MS 38801
Phone (662) 620-7101

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Interoperability endpoints

  • Direct secure messaging: csmith219341@ummc.direct-ci.com

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 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1306870662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N STATE ST STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022064",
            "telephone_number": "601-714-6400",
            "fax_number": "601-714-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "662-290-3315",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "MS",
            "postal_code": "388293354",
            "country_code": "US",
            "telephone_number": "662-538-2110",
            "fax_number": "662-538-2593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Burke Calhoun City Rd",
            "address_purpose": "LOCATION",
            "city": "Calhoun City",
            "state": "MS",
            "postal_code": "389169690",
            "country_code": "US",
            "telephone_number": "662-628-6611",
            "fax_number": "662-628-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 State Highway 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523112",
            "country_code": "US",
            "telephone_number": "662-538-7631",
            "fax_number": "662-538-2593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Highway 16 E",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514222",
            "country_code": "US",
            "telephone_number": "601-267-1100",
            "fax_number": "601-267-1469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "662-746-2261",
            "fax_number": "662-746-4839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-5003",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Belk Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555242",
            "country_code": "US",
            "telephone_number": "662-513-1609",
            "fax_number": "662-232-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592163",
            "country_code": "US",
            "telephone_number": "662-323-4230",
            "fax_number": "662-615-2554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014001",
            "country_code": "US",
            "telephone_number": "601-703-5000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 Southcrest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714739",
            "country_code": "US",
            "telephone_number": "901-226-4910",
            "fax_number": "901-226-4915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 5th St N",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397052008",
            "country_code": "US",
            "telephone_number": "662-244-1670",
            "fax_number": "662-244-1058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Baptist Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102012",
            "country_code": "US",
            "telephone_number": "601-974-8000",
            "fax_number": "601-974-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLINTON",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "18558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.