Active NPI
David Wesley Smith, M.D.
- Specialist
- Anniston, AL
National Provider Identifier
1477526762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 17281
- Practice address
- 171 Town Center Dr
Anniston, AL 36205-4101 - Phone
- (256) 237-1624
- Fax
- (256) 241-2277
- NPI assigned
- Feb 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17281 | AL | Primary |
Addresses
Primary practice location
171 Town Center Dr
Anniston, AL 36205-4101
Mailing address
PO Box 5430
Anniston, AL 36205-0430
Phone (256) 237-1624
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51037575 | Other | AL | BLUE CROSS BLUE SHIELD |
| 020040526 | Other | AL | UNITED HEALTHCARE |
| 000037575 | Medicaid | AL | |
| 41124 | Other | AL | HEALTH STRATEGIES |
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 |
|---|---|---|---|
| 17281 | AL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longleaf Primary Care, LLC | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Anniston, AL
- NPI 1255062832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1477526762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5430",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362050430",
"telephone_number": "256-237-1624",
"fax_number": "256-241-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 TOWN CENTER DR",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362054101",
"telephone_number": "256-237-1624",
"fax_number": "256-241-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DAVID",
"middle_name": "WESLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "17281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51037575",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "020040526",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000037575",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH STRATEGIES",
"identifier": "41124",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.