Active NPI
Alexander R. Smythe, MD.
- Maternal & Fetal Medicine Physician
- Columbia, SC
National Provider Identifier
1417908393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 6701
- Practice address
- 1301 Taylor St Ste 6J
Columbia, SC 29201-2930 - Phone
- (803) 296-2942
- Fax
- (803) 779-9581
- NPI assigned
- May 15, 2006
- Last updated
- Sep 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 6701 | SC | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 6701 | SC | Primary |
Addresses
Primary practice location
1301 Taylor St Ste 6J
Columbia, SC 29201-2930
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other practice location 1
1801 Sunset Dr
Columbia, SC 29203-6803
Phone (803) 545-5700
Other practice location 2
2 Medical Park Rd, STE LL9/10
Columbia, SC 29203
Phone (803) 545-5700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067019 | Medicaid | SC | |
| USC001 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6701 | SC | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1417908393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 TAYLOR ST STE 6J",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012930",
"telephone_number": "803-296-2942",
"fax_number": "803-779-9581"
}
],
"practiceLocations": [
{
"address_1": "1801 Sunset Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036803",
"country_code": "US",
"telephone_number": "803-545-5700",
"fax_number": "803-434-4699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Medical Park Rd, STE LL9/10",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-545-5700",
"fax_number": "803-434-6642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMYTHE",
"first_name": "ALEXANDER",
"middle_name": "R.",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "6701",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "SC",
"license": "6701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067019",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "USC001",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.