Individual provider Active NPI

Catherine L. Smith, MD

  • Infectious Disease Physician
  • Jacksonville, FL
National Provider Identifier
1386847903
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME116540 Issued in FL
Practice address
820 Prudential Dr Ste 515
Jacksonville, FL 32207-8207
Phone
(904) 396-4886
Fax
(904) 390-7487
NPI assigned
Jun 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME116540 FL
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X ME116540 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 515
Jacksonville, FL 32207-8207

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130729001040 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 4587856125 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

820 Prudential Dr
Suite 515
Jacksonville, FL 32207-8207
Phone (904) 396-4886

Hospital & facility affiliations

  • Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME116540FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc Internal Medicine CurrentSince Jul 8, 2013 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Nov 27, 2023 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 8, 2013 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Nov 27, 2023 Accepting new patients
First Coast Infectious Disease Consultants LLC Infectious Disease CurrentSince Jul 20, 2022 Accepting new patients
Georgia Infectious Disease Consultants Infectious Disease Past Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients

Locations

1340 S 18th St
Ste 202A
Fernandina Beach, FL 32034
Phone (904) 202-4325

1747 Baptist Clay Dr
Ste 250A
Fleming Island, FL 32003
Phone (904) 202-4325

2 Shircliff Way
Ste 720
Jacksonville, FL 32204
Phone (904) 342-7765

14534 Old Saint Augustine Rd
Ste 3110A
Jacksonville, FL 32258
Phone (904) 202-4325

2122 University Blvd S
Jacksonville, FL 32216
Phone (904) 398-5614

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

425 N Lee St
Ste 203
Jacksonville, FL 32204
Phone (904) 354-8200

820 Prudential Dr
Ste 515
Jacksonville, FL 32207
Phone (904) 396-4886

836 Prudential Dr
Ste 105A
Jacksonville, FL 32207
Phone (904) 202-4325

1320 Roberts Dr
Ste 105A
Jacksonville Beach, FL 32250
Phone (904) 202-4325

2035 Professional Center Dr
Ste B
Orange Park, FL 32073
Phone (904) 264-7132

Interoperability endpoints

  • Direct secure messaging: csmith161576@baptisthealthsystemjacksonville.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/2841d-FUNyRbAEZPU2fkwLVgAHCA3S2l/

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1386847903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 515",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078207",
            "telephone_number": "904-396-4886",
            "fax_number": "904-390-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CATHERINE",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME116540",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME116540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.