Garrett O Smith Jr., PA-C
Individual provider Active NPI Medical Physician Assistant · Seven Points, TX
NPI 1386677243 · NPPES record last updated Jul 8, 2021
Key facts
- NPI
- 1386677243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA07982 (TX)
- Practice address
- 606 S Seven Points Dr Ste 10
Seven Points, TX 75143-9117 - Phone
- (903) 432-1901
- Fax
- (903) 432-0947
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121102000169 | TX | Practitioner - Physician Assistant | 1456328822 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMPORARY | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark D Hughes DO PA | Current |
Accepting new patients | |
| Health on Demand, PLLC | Current |
Accepting new patients | |
| Passion Health Physicians PLLC | Past |
Accepting new patients | |
| Cedar Creek Clinic, LLC | Past |
Accepting new patients |
Locations
606 S Seven Points Dr
Ste 10
Seven Points, TX 75143
Phone (214) 432-5633
606 S Seven Points Dr
Ste 9
Seven Points, TX 75143
Phone (903) 432-2707
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GAGGCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA07982 | TX | Yes |
Addresses
Primary practice location
606 S Seven Points Dr Ste 10
Seven Points, TX 75143-9117
Mailing address
606 S Seven Points Dr Ste 10
Seven Points, TX 75143-9117
Phone (903) 432-1901
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000057600 | Medicaid | AL |
Other providers in Seven Points, TX
- Carrie Pedersen
- Tommie Cherie Reeves
- Larry Lon Sams
- Daniel W. Scott
- Jeff M Seibert
- Catherine Suefen Tsai
- Walgreen Co.
- Ron Woody
All providers in Seven Points, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.