Gregory N Smith Jr.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP141748 Issued in TX

Practice address

2001 N Jefferson Ave Ste 300
Mount Pleasant, TX 75455-2375

Phone

(903) 572-9823

NPI assigned

Jul 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• North Central Texas Community Health Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita Falls, TX
  • NPI 1255324141
  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1336701317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 100TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794237145",
            "telephone_number": "806-224-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE STE 300",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552375",
            "telephone_number": "903-572-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "N",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP141748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manavalan Singaperumal, MD
• Sheela Singaperumal, MD
• Barjinder Singh, M.D.
• Melissa Shannon Slovak-Tucker, M.D.
• Ginger L. Smith, LPC
• Meagen Leann Smith, NP
• Mitchell Smith
• Sara Smith Smith
• Valerie Ann Snyder, CRNP
• Tania Soc, CFNP

• Pediatric Nurse Practitioner in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.