Active NPI
Ryan Chanler Smith, NP
- Family Nurse Practitioner
- Canton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 907560
- Practice address
- 1621 W Peace St
Canton, MS 39046-9041 - Phone
- (601) 391-2716
- NPI assigned
- Jul 14, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 907560 | MS | Primary |
Addresses
Primary practice location
1621 W Peace St
Canton, MS 39046-9041
Mailing address
1621 W Peace St
Canton, MS 39046-9041
Phone (601) 391-2716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251209003226 | MS | Practitioner - Nurse Practitioner | 6204320179 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Mississippi PLLC
Practice addresses (Care Compare)
1621 W Peace St
Canton, MS 39046-9041
Phone (931) 253-1110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907560 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Family | Current | Accepting new patients |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients |
Locations
1621 W Peace St
Canton, MS 39046
Phone (601) 391-2716
7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661
50 Veterans Memorial Dr
Kosciusko, MS 39090
Phone (662) 633-4216
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- Rural Health Clinic/Center
- Mountain Home, AR
- NPI 1972262400
-
- Urgent Care Clinic/Center
- Greenbriar, AR
- NPI 1982361259
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1386535557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 W PEACE ST",
"city": "CANTON",
"state": "MS",
"postal_code": "390469041",
"telephone_number": "601-391-2716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 W PEACE ST",
"city": "CANTON",
"state": "MS",
"postal_code": "390469041",
"telephone_number": "601-391-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RYAN",
"middle_name": "CHANLER",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-14",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "907560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MS
- Carla G. Smith, R.PH.
- Maria L Smith, PMHNP-BC, C-FNP, LPC
- Mary Melvin Smith, NP
- Percy L Smith Jr., PA
- Rachel Nicole Smith
- Latoya Sojourney, FNP
- Judith Stallings, NP
- Shadekra Stasher
- State of Mississippi - University of Mississippi Medical Center
- State of Mississippi - University of Mississippi Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.