Individual provider Active NPI

William Edward Smith, M.D.

  • Obstetrics & Gynecology Physician
  • Crossville, TN
National Provider Identifier
1316168909
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
46148 Issued in TN
Practice address
2995 Miller Ave
Crossville, TN 38555-7721
Phone
(931) 787-1362
Fax
(931) 210-5362
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 46148 TN Primary

Addresses

Primary practice location

2995 Miller Ave
Crossville, TN 38555-7721

Mailing address

2995 Miller Ave
Crossville, TN 38555-7721
Phone (931) 787-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100706000016 TN Practitioner - Obstetrics/Gynecology 9537290648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana Health TN, PCGroup PAC ID 4688065980, 56 clinicians

Practice addresses (Care Compare)

317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46148TNMDManaged Care Organization Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health TN, PC Obstetrics & Gynecology CurrentSince Mar 1, 2025 Accepting new patients
Cumberland Medical Center, Inc. Past Accepting new patients
Cookeville Regional Medical Center Past Accepting new patients

Locations

317 N Hickory Ave
Cookeville, TN 38501
Phone (931) 528-7527

2995 Miller Ave
Crossville, TN 38555
Phone (931) 787-1362

300 Stonecrest Blvd
Ste 310
Smyrna, TN 37167
Phone (629) 206-6858

Interoperability endpoints

  • Direct secure messaging: william.smith.1@7302.direct.athenahealth.com
  • Direct secure messaging: william.smith.1@23211.direct.athenahealth.com
  • Direct secure messaging: william.smith.2@7302.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1316168909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 MILLER AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385557721",
            "telephone_number": "931-787-1362",
            "fax_number": "931-210-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 MILLER AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385557721",
            "telephone_number": "931-787-1362",
            "fax_number": "931-210-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "46148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.