Individual provider Active NPI

Phillip A Smith, MD

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1427404193
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
42669 Issued in AL
Practice address
2236 Cahaba Valley Dr Ste 206a
Birmingham, AL 35242-2679
Phone
(205) 583-6661
Fax
(617) 362-2499
NPI assigned
May 11, 2016
Last updated
May 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 42669 AL Primary
Child & Adolescent Psychiatry Physician 2084P0804X 2020-03282 NC

Addresses

Primary practice location

2236 Cahaba Valley Dr Ste 206a
Birmingham, AL 35242-2679

Mailing address

PO Box 18957
Charlotte, NC 28218-0957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AL, IN, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200825001039 NC Practitioner - Psychiatry 7416243126 Reassigns benefits to 5 organizations
I20210505000936 AL Practitioner - Psychiatry 7416243126 Reassigns benefits to 1 organization
I20221024001231 IN Practitioner - Psychiatry 7416243126 Reassigns benefits to 1 organization
I20230927002672 SC Practitioner - Psychiatry 7416243126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wake Forest University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

2 Corpus Christie PL
Suite 200
Hilton Head Island, SC 29928-1712
Phone (205) 583-6661

2236 Cahaba Valley Dr
Suite 206a
Birmingham, AL 35242-2625
Phone (205) 583-6661

4108 Park Rd
Suite 321
Charlotte, NC 28209-2259
Phone (205) 583-6661

501 Billingsley Rd
Charlotte, NC 28211-1009
Phone (704) 444-2400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42669ALMDPsychiatry Physician
2020-03282NCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Springs Physician Group, LLC Psychiatry CurrentSince Apr 13, 2022 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Oct 1, 2024 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Caromont Medical Group Inc Psychiatry Current Accepting new patients
Carolinas Medical Center Psychiatry CurrentSince Jul 30, 2023 Accepting new patients
Brentwood Meadows Physician Group LLC Psychiatry CurrentSince Oct 21, 2022 Accepting new patients
Caromont Medical Group Inc Psychiatry CurrentSince Aug 1, 2020 Accepting new patients
Kibun Health PLLC CurrentSince Mar 6, 2023 Accepting new patients
Kibun Health NC PLLC CurrentSince May 7, 2024 Accepting new patients
Caromont Medical Group Inc CurrentSince Aug 1, 2020 Accepting new patients
Carolinas Medical Center CurrentSince Jul 30, 2023 Accepting new patients

Locations

2236 Cahaba Valley Dr
Ste 206A
Birmingham, AL 35242
Phone (205) 583-6661

4488 Roslin Rd
Newburgh, IN 47630
Phone (812) 710-4038

4801 Olympia Park Plz
Ste 1000
Louisville, KY 40241

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1233 The Plaza
#18957
Charlotte, NC 28205

4108 Park Rd
Ste 321
Charlotte, NC 28209
Phone (205) 583-6661

501 Billingsley Rd
Charlotte, NC 28211
Phone (704) 358-2700

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

10901 World Trade Blvd
Raleigh, NC 27617
Phone (919) 272-1026

2 Corpus Christie Pl
Ste 200
Hilton Head Island, SC 29928
Phone (843) 350-2680

Interoperability endpoints

  • Direct secure messaging: psmith1222015@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1427404193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18957",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282180957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 CAHABA VALLEY DR STE 206A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422679",
            "telephone_number": "205-583-6661",
            "fax_number": "617-362-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "42669",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2020-03282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.