Teresa a Smith MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

39329 Issued in NC

Legal business name

TERESA A SMITH MD PA

Doing business as

Med Center 1

Practice address

1688 E Arlington Blvd
Greenville, NC 27858-5871

Phone

(252) 353-1464

Fax

(252) 353-1272

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Joyce Smith

Title

Business Manager

Phone

(252) 353-1464

Specialties & licenses 1

Addresses

Other names 1

• Med Center 1 Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa A Smith, MD

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1275521973
  Medicare reassignment NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1336268937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 E ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585871",
            "telephone_number": "252-353-1464",
            "fax_number": "252-353-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 E ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585871",
            "telephone_number": "252-353-1464",
            "fax_number": "252-353-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA A SMITH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "252-353-1464"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "39329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Center 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shamesa N'Cole Teel
• Braden D Teller, CP
• Halina Teller
• Richard Wilson Temple, M.D.
• Carolyn Jia Ling Teng, MD
• Jadyn Terry
• Caroll Ann Teuscher, AGACNP
• Anand Tewari, M.D.
• Shayla Thacker
• Bhushan Thakkar, BDS, MDS

• Primary Care Clinic/Center in Greenville, NC
• Providers in Greenville, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.