Individual provider Active NPI

Walter E Smith, M.D.

  • Family Medicine Physician
  • Ehrhardt, SC
National Provider Identifier
1326197864
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22886 Issued in SC
Practice address
5867 Ehrhardt Rd
Ehrhardt, SC 29081
Phone
(803) 267-6777
NPI assigned
Jan 10, 2007
Last updated
Apr 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091027000311 SC Practitioner - Family Practice 1254478084 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22886SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Family Medicine CurrentSince Nov 21, 2022 Accepting new patients
Little River Medical Center, Inc CurrentSince Nov 21, 2022 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Nov 21, 2022 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Nov 21, 2022 Accepting new patients
Little River Medical Center Inc Family Medicine CurrentSince Nov 21, 2022 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 PastSince May 22, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.