Active NPI
Justin Smiley, DO
- Family Medicine Physician
- Santa Rosa Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS12346
- Practice address
- 43 Cassine Way Ste 102
Santa Rosa Beach, FL 32459-0457 - Phone
- (850) 231-1919
- Fax
- (850) 231-1918
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44001 | CO | |
| Family Medicine Physician | 207Q00000X | OS12346 | FL | Primary |
Addresses
Primary practice location
43 Cassine Way Ste 102
Santa Rosa Beach, FL 32459-0457
Mailing address
43 Cassine Way Ste 102
Santa Rosa Beach, FL 32459-0457
Phone (850) 231-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010391100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, 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
- Family Practice
- Education
- Rocky Vista University College of Osteopathic Med, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sedgwick County Memorial Hospital
Practice addresses (Care Compare)
900 Cedar St
Julesburg, CO 80737-1121
Phone (970) 474-3323
9318 Panama City Beach Pkwy
Panama City Beach, FL 32407-4024
Phone (850) 772-6200
Hospital & facility affiliations
- HCA Florida Twin Cities Hospital
- Ascension Sacred Heart Gulf
- HCA Florida Gulf Coast Hospital
- Sedgwick County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44001 | CO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola | Current | Accepting new patients | |
| Cep America, LLC | Current | Accepting new patients | |
| North Walton Rural Hospital, LLC | Current | Accepting new patients | |
| Lakewood Ranch Anesthesia PL | Past | Accepting new patients | |
| Sterling Regional Medcenter | Past | Accepting new patients | |
| Apex Emergency Group, Inc | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
9318 Panama City Beach Pkwy
Fl Gulf
Panama City Beach, FL 32407
Phone (850) 772-6200
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 11
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
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Rural Acute Care Hospital
- Defuniak Springs, FL
- NPI 1750142121
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
-
- Urgent Care Clinic/Center
- Santa Rosa Beach, FL
- NPI 1942611652
-
- Critical Access Hospital
- Brush, CO
- NPI 1699708743
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1871280867
-
- Anesthesiology Physician
- Lakewood Ranch, FL
- NPI 1932157989
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1740231356
-
- General Acute Care Hospital
- Sterling, CO
- NPI 1942238555
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Port St Joe, FL
- NPI 1083941678
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
-
- Critical Access Hospital
- Julesburg, CO
- NPI 1740295591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1457568685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CASSINE WAY STE 102",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324590457",
"telephone_number": "850-231-1919",
"fax_number": "850-231-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CASSINE WAY STE 102",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324590457",
"telephone_number": "850-231-1919",
"fax_number": "850-231-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "44001",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS12346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010391100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.