Organization Active NPI

Bill Moore Smith MD PLLC

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1366653321
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20573 Issued in TN
Legal business name
BILL MOORE SMITH MD PLLC
Practice address
1200 Pineville Rd
Chattanooga, TN 37405-2645
Phone
(423) 265-0063
Fax
(423) 265-1060
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Bill M Smith, M.D.
Title
Owner
Phone
(423) 265-0063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20573 TN Primary

Addresses

Primary practice location

1200 Pineville Rd
Chattanooga, TN 37405-2645

Mailing address

1200 Pineville Rd
Chattanooga, TN 37405-2645
Phone (423) 265-0063

National Provider Directory

National Provider Directory

Locations

100A McFarland Rd
Lookout Mountain, GA 30750
Phone (706) 820-0908

101 McFarland Rd
Lookout Mtn, GA 30750
Phone (423) 778-9210

1200 Pineville Rd
Chattanooga, TN 37405
Phone (423) 265-0063

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1366653321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PINEVILLE RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052645",
            "telephone_number": "423-265-0063",
            "fax_number": "423-265-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PINEVILLE RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052645",
            "telephone_number": "423-265-0063",
            "fax_number": "423-265-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL MOORE SMITH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-265-0063",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "20573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.