Gregory Max Smith, RPA

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

License

00015 Issued in TN

Practice address

975 E 3Rd St # 376
Chattanooga, TN 37403-2147

Phone

(423) 778-7234

Fax

(423) 778-6261

NPI assigned

Jul 18, 2018

Last updated

Jul 18, 2018By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tennessee Interventional and Imaging Associates, PLLC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1043632433
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1366928806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST # 376",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7234",
            "fax_number": "423-778-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST # 376",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7234",
            "fax_number": "423-778-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "MAX",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "TN",
            "license": "00015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth McCrary Smith, PHARND
• Ellen Smith, LPN
• Eric McLees Smith
• Gage C Smith, MD
• Gary Daniel Smith, M.D.
• Gregory Wayne Smith, N.P.
• Hailey Nichole Smith
• Helen Smith, NP
• James Clifford Smith
• Janice L Smith, RN

• Radiology Practitioner Assistant in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Radiology Practitioner Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.