Active NPI
Walter E Smith, M.D.
- Family Medicine Physician
- Ehrhardt, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22886
- Practice address
- 5867 Ehrhardt Rd
Ehrhardt, SC 29081 - Phone
- (803) 267-6777
- NPI assigned
- Jan 10, 2007
- Last updated
- Apr 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22886 | SC | Primary |
Addresses
Primary practice location
5867 Ehrhardt Rd
Ehrhardt, SC 29081
Mailing address
732 Cayce Rd
Lodge, SC 29082-9363
Phone (843) 860-2272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22886 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little River Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Little River Medical Center, Inc | Current | Accepting new patients | |
| Little River Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Little River Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Little River Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Allendale County Hospital Board | Past | Accepting new patients | |
| Allendale County Hospital Board | Past | Accepting new patients | |
| Allendale County Hospital Board | Past | Accepting new patients | |
| Community Wellness Group LLC | Past | Accepting new patients |
Locations
4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939
3817 Main St
Loris, SC 29569
Phone (843) 663-8297
3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689
4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013
7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939
Interoperability endpoints
- walter.smith.1@28386.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Little River, SC
- NPI 1629021076
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1346638483
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1184783284
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1508120619
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Loris, SC
- NPI 1619100096
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1669535225
-
dba Carolina Medical Associates
- Rural Health Clinic/Center
- Fairfax, SC
- NPI 1144370503
-
dba Laffitte & Warren Medical Center
- Rural Health Clinic/Center
- Allendale, SC
- NPI 1407906878
-
dba Allendale County Hospital
- General Acute Care Hospital
- Fairfax, SC
- NPI 1609866912
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1982144606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1326197864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 CAYCE RD",
"city": "LODGE",
"state": "SC",
"postal_code": "290829363",
"telephone_number": "843-860-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5867 EHRHARDT RD",
"city": "EHRHARDT",
"state": "SC",
"postal_code": "29081",
"telephone_number": "803-267-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WALTER",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "22886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ehrhardt, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.