Elizabeth Anne Smith, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME61157 Issued in FL

Practice address

402 N 4TH Ave SW
Rome, GA 30165-2812

Phone

(706) 292-3045

Fax

(706) 292-3044

NPI assigned

Oct 11, 2005

Last updated

Aug 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Partners of Zephyrhills, P.a.

  • Pediatrics Physician
  • Zephyrhills, FL
  • NPI 1689767303
  NPD (past)
• Pediatrica Health of Florida, LLC

  • Pediatric Adolescent Medicine Physician
  • Jacksonville, FL
  • NPI 1316385164
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1407844624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11347 BIG BEND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797183",
            "telephone_number": "813-418-7282",
            "fax_number": "813-677-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N 4TH AVE SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652812",
            "telephone_number": "706-292-3045",
            "fax_number": "706-292-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11347 Big Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335797183",
            "country_code": "US",
            "telephone_number": "813-418-7282",
            "fax_number": "813-677-7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME61157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "193317",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "193317",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371653800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "419864003",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "593618517",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2324845",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "593618517",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "23670",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "25600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James T Small III, RN/RT(R)
• John Small
• Nicole Smith-Ludvik, RBT
• Alicia Louise Smith, CPNP
• Demetrias Racquel Smith, RN
• Gary Locke Smith, O.D.
• Jack Brian Smith, DMD
• Jason L Smith, M D
• Julia Diane Smith
• Justin Smith, M.D.

• Pediatrics Physician in Rome, GA
• Providers in Rome, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.