Individual provider Active NPI

Cory M Smith, MD

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1487767596
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27245 Issued in SC
Practice address
800 E Cheves St
Suite 310
Florence, SC 29506-2650
Phone
(843) 679-7272
Fax
(843) 679-7215
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27245 SC Primary

Addresses

Primary practice location

800 E Cheves St
Suite 310
Florence, SC 29506-2650

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 679-7272

Other identifiers 1

IdentifierTypeStateIssuer
272458MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cory.smith@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060410000186 SC Practitioner - Family Practice 3779592340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians

Practice addresses (Care Compare)

3013 A W Palmetto St
Florence, SC 29501-5935

3015 W Palmetto St
Florence, SC 29501-5935
Phone (843) 777-6870

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

800 E Cheves St
Florence, SC 29506-2650

800 E Cheves St
Florence, SC 29506-2652

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Kingstree, SC, CCN 427068
  • McLeod Home Health Inc Home health agency, Florence, SC, CCN 427057
  • Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
  • Carolinas Home Health Home health agency, Florence, SC, CCN 427058
  • Amedisys Home Health of Conway Home health agency, Conway, SC, CCN 427112
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005
  • McLeod Health Cheraw Hospital, Cheraw, SC, CCN 420107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions17
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27245SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 15, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine CurrentSince Jul 15, 2024 Accepting new patients
McLeod Physician Associates II Family Medicine CurrentSince Nov 1, 2006 Accepting new patients
McLeod Physician Associates II CurrentSince Nov 1, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

800 E Cheves St
Ste 310
Florence, SC 29506
Phone (843) 679-7272

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

1001 W Sumter St
Florence, SC 29501
Phone (843) 664-4158

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

Interoperability endpoints

  • Direct secure messaging: csmith19338@directmcleodehealth.org

Organizations & group practices 5

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 9

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1487767596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-679-7272",
            "fax_number": "843-679-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST",
            "address_2": "SUITE 310",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062650",
            "telephone_number": "843-679-7272",
            "fax_number": "843-679-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CORY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "27245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272458",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cory.smith@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "800 E Cheves St",
            "address_2": "Suite 310",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.