Active NPI
James W Smith, MD
- Gastroenterology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0038076
- Practice address
- 5147 North 9TH Avenue
Suite 311
Pensacola, FL 32504 - Phone
- (850) 477-2597
- Fax
- (850) 478-7941
- NPI assigned
- Oct 2, 2006
- Last updated
- Oct 22, 2007
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0038076 | FL | Primary |
Addresses
Primary practice location
5147 North 9TH Avenue
Suite 311
Pensacola, FL 32504
Mailing address
4900 Bayou Boulevard
Suite 111
Pensacola, FL 32503
Phone (850) 477-8109
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059075508 | Other | AL | BCBS OF ALABAMA |
| 000289901002 | Other | UNITED HEALTH CARE | |
| 008202700 | Medicaid | AL | |
| 17497 | Other | FL | BCBS OF FLORIDA |
| Z016 | Other | HEALTH OPTIONS | |
| 4647812 | Other | AETNA | |
| 6832173 | Other | CIGNA | |
| 065335700 | Medicaid | FL | |
| 100000146 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0038076 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of Pensacola PA | Gastroenterology | Current | Accepting new patients |
| Gastroenterology Associates of Pensacola PA | Gastroenterology | Current | Accepting new patients |
Locations
4810 N Davis Hwy
Pensacola, FL 32503
Phone (850) 474-8988
4828 N Davis Hwy
Pensacola, FL 32503
5147 N 9th Ave
Ste 201
Pensacola, FL 32504
5147 N 9th Ave
Ste 311
Pensacola, FL 32504
9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000
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.
-
- Gastroenterology Physician
- Pensacola, FL
- NPI 1235223785
-
- Gastroenterology Physician
- Pensacola, FL
- NPI 1891768123
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": "1193011200000",
"number": "1386737955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 BAYOU BOULEVARD",
"address_2": "SUITE 111",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32503",
"telephone_number": "850-477-8109",
"fax_number": "850-478-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5147 NORTH 9TH AVENUE",
"address_2": "SUITE 311",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32504",
"telephone_number": "850-477-2597",
"fax_number": "850-478-7941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0038076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "059075508",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "000289901002",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008202700",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "17497",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH OPTIONS",
"identifier": "Z016",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4647812",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6832173",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065335700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100000146",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.