Gregory D. Smith

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

38746 Issued in KY

Legal business name

GREGORY D. SMITH

Practice address

2412 Ring Rd Ste 200
Elizabethtown, KY 42701-5913

Phone

(270) 765-5926

Fax

(270) 763-0051

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gregory D. Smith, MDNPI 1659375269

Title

Owner

Phone

(270) 765-5926

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Dale Smith, M.D.

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1659375269
  NPD (past) Authorized official
• Latisha Faye Skinkle, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NC
  • NPI 1699039248
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1477703619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MAYAPPLE LN",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018944",
            "telephone_number": "270-765-5926",
            "fax_number": "270-763-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 RING RD STE 200",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015913",
            "telephone_number": "270-765-5926",
            "fax_number": "270-763-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D. SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-765-5926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "38746",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64087711",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard Damon Greenwell, MD
• Beth Ann Greenwell, PT, MPT, CLT-LANA
• Erica C Greenwell, PA
• George Leo Greenwell Jr., OTR
• Kristen McCann Greenwell
• Jenny L Grimes, RN, MSN, CNOR, CSFA
• Delacey Groves
• Cathy R Grubbs, O.T.
• Jaila Grubbs
• Joachim Gruber, MD

• Addiction Medicine (Family Medicine) Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Addiction Medicine (Family Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.