Active NPI
Bill Moore Smith MD PLLC
- Family Medicine Physician
- Chattanooga, TN
National Provider Identifier
1366653321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20573
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1790855229
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.