Active NPI
Jeffrey W. Smith II, D.O.
- Nephrology Physician
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 791
- Practice address
- 3 Medical CT
Sumter, SC 29150-4760 - Phone
- (803) 938-5663
- Fax
- (803) 938-5088
- NPI assigned
- Oct 2, 2006
- Last updated
- Jan 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 791 | SC | Primary |
Addresses
Primary practice location
3 Medical CT
Sumter, SC 29150-4760
Mailing address
115 N Sumter St
305
Sumter, SC 29150-4972
Phone (803) 938-5663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007913 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Medical CT
Sumter, SC 29150-4760
Phone (803) 938-5663
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 791 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Francisco Gonzalez, MD, PA | Current | Accepting new patients | |
| Sumter Nephrology LLC | Nephrology | Current | Accepting new patients |
Locations
115 N Sumter St
Ste 305
Sumter, SC 29150
Phone (803) 934-8348
115 N Sumter St
Ste 400
Sumter, SC 29150
Phone (803) 774-7425
3 Medical Ct
Sumter, SC 29150
Phone (803) 934-8348
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.
-
- Nephrology Physician
- Sumter, SC
- NPI 1306280698
-
- Hematology & Oncology Physician
- Sumter, SC
- NPI 1073623674
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Manning
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Manning, SC
- NPI 1447362256
Dialysis facility
-
dba Fresenius Medical Care Swan Lake Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sumter, SC
- NPI 1306245394
Dialysis facility
-
dba Cypress Gardens Home Training
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sumter, SC
- NPI 1952731259
Dialysis facility
-
dba Cypress Gardens Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sumter, SC
- NPI 1376931154
Dialysis facility
-
- Rural Acute Care Hospital
- Manning, SC
- NPI 1205284411
-
dba Prisma Health Tuomey Hosptial
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1376636969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N SUMTER ST",
"address_2": "305",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504972",
"telephone_number": "803-938-5663",
"fax_number": "803-339-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MEDICAL CT",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504760",
"telephone_number": "803-938-5663",
"fax_number": "803-938-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JEFFREY",
"middle_name": "W.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007913",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.