Individual provider Active NPI

Nancy L Smith, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, NC
National Provider Identifier
1326020793
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
9601479 Issued in NC
Practice address
2515 Bowman Gray Dr
Greenville, NC 27834-7215
Phone
(252) 561-7992
Fax
(252) 561-7993
NPI assigned
Nov 18, 2005
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 9601479 NC Primary

Addresses

Primary practice location

2515 Bowman Gray Dr
Greenville, NC 27834-7215

Mailing address

2515 Bowman Gray Dr
Greenville, NC 27834-7215
Phone (252) 561-7992

Other identifiers 3

IdentifierTypeStateIssuer
220020378OtherNCRAILROAD MEDICARE
891004WMedicaidNC
1004WOtherNCBCBS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071017000646 NC Practitioner - Pathology 4183710429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Pathology PAGroup PAC ID 2961434790, 2 clinicians

Practice addresses (Care Compare)

2515 Bowman Gray Dr
Greenville, NC 27834-7215
Phone (252) 561-7992

Merit-based Incentive Payment System (MIPS)

Final score
99.73 of 100Reported as group
Quality
99.46
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9601479NCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Pathology, PA CurrentSince Sep 1, 2007 Accepting new patients
Greenville Pathology, PA PastSince Sep 1, 2007 Accepting new patients

Locations

2515 Bowman Gray Dr
Greenville, NC 27834
Phone (252) 561-7992

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1326020793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 BOWMAN GRAY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347215",
            "telephone_number": "252-561-7992",
            "fax_number": "252-561-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 BOWMAN GRAY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347215",
            "telephone_number": "252-561-7992",
            "fax_number": "252-561-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NANCY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "9601479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220020378",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891004W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1004W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.