Walter E Smith, M.D.
Individual provider Active NPI Family Medicine Physician · Ehrhardt, SC
NPI 1326197864 · NPPES record last updated Apr 9, 2018
Key facts
- NPI
- 1326197864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22886 (SC)
- Practice address
- 5867 Ehrhardt Rd
Ehrhardt, SC 29081 - Phone
- (803) 267-6777
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091027000311 | SC | Practitioner - Family Practice | 1254478084 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | 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 | 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 | |
| Community Wellness Group LLC | Past |
Accepting new patients | |
| Allendale County Hospital Board | 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
4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013
7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939
3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689
Interoperability endpoints
- walter.smith.1@28386.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22886 | SC | Yes |
Addresses
Primary practice location
5867 Ehrhardt Rd
Ehrhardt, SC 29081
Mailing address
732 Cayce Rd
Lodge, SC 29082-9363
Phone (843) 860-2272
Other providers in Ehrhardt, SC
- Ehrhardt Pharmacy LLC
- Ehrhardt Pharmacy LLC
- Dean Homer Kohlhepp
- Low Country Assisted Living LLC
- Medical Ministries Inc
All providers in Ehrhardt, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.