Individual provider Active NPI

James Keith Smith, DPM

  • Podiatrist
  • Pinehurst, NC
National Provider Identifier
1477908846
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
700 Issued in NC
Practice address
325 Page Rd N BLDG 3
Pinehurst, NC 28374-4637
Phone
(919) 751-9120
Fax
(919) 751-9170
NPI assigned
May 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 700 NC Primary

Addresses

Primary practice location

325 Page Rd N BLDG 3
Pinehurst, NC 28374-4637

Mailing address

PO Box 4383
Pinehurst, NC 28374-4383
Phone (910) 295-9255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514000217 NC Practitioner - Podiatry 2365737582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinehurst Foot SpecialistGroup PAC ID 2668440223, 3 clinicians

Practice addresses (Care Compare)

325 Page Rd BLDG
Suite 3
Pinehurst, NC 28374-8751
Phone (919) 295-9255

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue134
Removal of skin lesions1-10
Removal of nail tissue937
Removal or shaving of skin growth545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Foot Specialist Podiatrist CurrentSince Mar 18, 2019 Accepting new patients
Wound Management Specialists, LLC PastSince Nov 27, 2024 Accepting new patients

Locations

6 Regional Dr
Ste D
Pinehurst, NC 28374
Phone (910) 221-7195

325 Page Rd N
Bldg 3
Pinehurst, NC 28374
Phone (910) 295-2828

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1477908846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4383",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744383",
            "telephone_number": "910-295-9255",
            "fax_number": "910-295-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PAGE RD N BLDG 3",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744637",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "KEITH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.