Active NPI
Smithville Emergency Services, LLC
- Nurse Practitioner
- Smithville, TN
National Provider Identifier
1487612644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- SMITHVILLE EMERGENCY SERVICES, LLC
- Practice address
- 520 W Main St
Smithville, TN 37166-1138 - Phone
- (615) 215-5000
- Fax
- (904) 805-1302
- NPI assigned
- May 3, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene Dauchert
- Title
- Ceo/President
- Phone
- (919) 768-4392
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | Primary | |
| Emergency Medicine Physician | 207P00000X | NU |
Addresses
Primary practice location
520 W Main St
Smithville, TN 37166-1138
Mailing address
PO Box 532743
Atlanta, GA 30353-2743
Phone (904) 805-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE1871 | Other | TN | RAIL ROAD MEDICARE |
| 3727919 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Internal Medicine Physician
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-
- Family Medicine Physician
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- Emergency Medicine Physician
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- Emergency Medicine Physician
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- NPI 1801868559
-
- Internal Medicine Physician
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- NPI 1487604823
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- NPI 1437105608
-
- Obstetrics & Gynecology Physician
- Murfreesboro, TN
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-
- Internal Medicine Physician
- Stockbridge, GA
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- Emergency Medicine Physician
- Sedro Woolley, WA
- NPI 1295895050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1487612644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 532743",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303532743",
"telephone_number": "904-805-1300",
"fax_number": "904-805-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W MAIN ST",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371661138",
"telephone_number": "615-215-5000",
"fax_number": "904-805-1302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITHVILLE EMERGENCY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DAUCHERT",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "919-768-4392"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DE1871",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3727919",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.