NPIMap

Individual provider Active NPI

Phillip Joshua Smith, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Greenville, SC
National Provider Identifier
1356545081
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
40432 Issued in SC
Practice address
105 Halton Village Cir Ste B
Greenville, SC 29607-6832
Phone
(864) 569-0126
Fax
(864) 569-0175
NPI assigned
Jun 14, 2007
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 201200567 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X 40432 SC Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 201200567 NC
Interventional Pain Medicine Physician 208VP0014X 40432 SC

Addresses

Primary practice location

105 Halton Village Cir Ste B
Greenville, SC 29607-6832

Mailing address

105 Halton Village Cir Ste B
Greenville, SC 29607-6832
Phone (864) 569-0126

Other practice location 1

21 Brendan Way
Greenville, SC 29615
Phone (864) 522-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120711000210 NC Practitioner - AnesthesiologyPractitioner - Pain Management 9739359498 Reassigns benefits to 1 organization
I20170619001858 SC Practitioner - AnesthesiologyPractitioner - Pain Management 9739359498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Brody School of Medicine at East Carolina University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renew Pain Solutions LLCGroup PAC ID 3173968781, 2 clinicians

Practice addresses (Care Compare)

105 Halton Village Cir
Suite B
Greenville, SC 29607-6832
Phone (864) 569-0126

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201200567NCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Pain Solutions LLC Pain Medicine CurrentSince Oct 23, 2023 Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients

Locations

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

105 Halton Village Cir
Ste B
Greenville, SC 29607
Phone (864) 569-0126

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFCDDD/Endpoint/AFCDDD
  • Direct secure messaging: phillip.smith.1@29036.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 54

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1356545081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HALTON VILLAGE CIR STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076832",
            "telephone_number": "864-569-0126",
            "fax_number": "864-569-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HALTON VILLAGE CIR STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076832",
            "telephone_number": "864-569-0126",
            "fax_number": "864-569-0175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Brendan Way",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "29615",
            "country_code": "US",
            "telephone_number": "864-522-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILLIP",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "201200567",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "40432",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "201200567",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "40432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.