NPIMap

Individual provider Active NPI

Rebecca Starr Smith, M.D.

  • Family Medicine Physician
  • Simpsonville, SC
National Provider Identifier
1407890932
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23175 Issued in SC
Practice address
1409 W Georgia Rd
Suite B
Simpsonville, SC 29680-6419
Phone
(864) 454-5000
Fax
(864) 454-5005
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23175 SC Primary

Addresses

Primary practice location

1409 W Georgia Rd
Suite B
Simpsonville, SC 29680-6419

Mailing address

300 E McBee Ave Ste 401
Greenville, SC 29601-2842

Other identifiers 5

IdentifierTypeStateIssuer
571004971025OtherSCBCBS OF SC ID
3287549OtherSCCIGNA ID
T73827MedicaidSC
080184139OtherSCRR MEDICARE
7525361OtherSCAETNA ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsmith7121@direct.ghs.myhfn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000563 SC Practitioner - Family Practice 4688676885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

109 Physicians Dr
Greer, SC 29650-2446

131 Lila Doyle Dr
Seneca, SC 29672-9495
Phone (864) 888-3717

139 Lila Doyle Dr
Seneca, SC 29672-9495
Phone (864) 482-3483

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

300 E McBee Ave
Greenville, SC 29601-2842
Phone (864) 797-6220

300 E McBee Ave FL
Suite 4
Greenville, SC 29601-2842

877 W Faris Rd
Greenville, SC 29605-4296

Hospital & facility affiliations

  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Prisma Health Hillcrest Hospital Hospital, Simpsonville, SC, CCN 420037
  • Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009
  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102
  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23175SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Prisma Health University Medical Group CurrentSince Apr 6, 2021 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2008 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

503 W Butler Rd
Greenville, SC 29607
Phone (864) 299-5030

300 E McBee Ave
Ste 401
Greenville, SC 29601

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

877 W Faris Rd
Greenville, SC 29605
Phone (864) 455-7800

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

109 Physicians Dr
Ste A
Greer, SC 29650
Phone (864) 797-1050

1409 W Georgia Rd
Ste B
Simpsonville, SC 29680
Phone (864) 454-5000

Interoperability endpoints

  • Direct secure messaging: rsmith7121@direct.ghs.myhfn.org

Organizations & group practices 3

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 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1407890932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 401",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W GEORGIA RD",
            "address_2": "SUITE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806419",
            "telephone_number": "864-454-5000",
            "fax_number": "864-454-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "middle_name": "STARR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SC ID",
            "identifier": "571004971025",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "3287549",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T73827",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080184139",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7525361",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsmith7121@direct.ghs.myhfn.org",
            "affiliation": "N",
            "address_1": "1409 W Georgia Rd",
            "address_2": "Suite B",
            "city": "Simpsonville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296806419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.