Active NPI
Trevor Craig Smith, M.D.
- Emergency Medicine Physician
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 072130
- Practice address
- 8954 Hospital Dr
Douglasville, GA 30134-2272 - Phone
- (770) 949-1500
- NPI assigned
- Mar 24, 2011
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 072130 | GA | Primary |
Addresses
Primary practice location
8954 Hospital Dr
Douglasville, GA 30134-2272
Mailing address
5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Florida College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 13TH Ave S
BMC Beaches
Jacksonville Beach, FL 32250-3203
Phone (904) 627-2905
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Baptist Medical Center - Nassau
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| TMH Emergency Physician Group | Emergency Medicine | Current | Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| TMH Emergency Physician Group | Emergency Medicine | Current | Accepting new patients |
| The Bortolazzo Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
Locations
1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000
1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000
1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1309 Thomasville Rd
Tallahassee, FL 32303
Phone (850) 431-5910
1260 Metropolitan Blvd
Tallahassee, FL 32312
Phone (850) 422-5413
1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1417483819
-
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1487932422
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1235665605
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1386943793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 NEW NORTHSIDE DR STE 320",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8954 HOSPITAL DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342272",
"telephone_number": "770-949-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TREVOR",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "072130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.