J S Michael Smith MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME89102 Issued in FL

Legal business name

J S MICHAEL SMITH MD PA

Practice address

14088 Alabama St
Jay, FL 32565-1036

Phone

(850) 675-4546

Fax

(850) 675-4548

NPI assigned

May 15, 2012

Last updated

Oct 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Stewart Michael Smith, MDNPI 1497710313

Title

Owner/President

Phone

(850) 675-4546

Specialties & licenses 1

Addresses

Other names 1

• John Stewart Michael Smith MD Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 6

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.

• John-Stewart Michael Smith, MD

  • Family Medicine Physician
  • Jay, FL
  • NPI 1497710313
  Medicare reassignment NPD Authorized official
• Yun-Wei Chang

  • Acute Care Nurse Practitioner
  • Milton, FL
  • NPI 1255708459
  NPD
• Mark James Elder, D.O.

  • Family Medicine Physician
  • Jay, FL
  • NPI 1477559409
  NPD
• Jeffery Scott Kelley, MD

  • Internal Medicine Physician
  • Jay, FL
  • NPI 1659334126
  NPD
• Caleb David Morton

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1881191708
  NPD
• Cleatious David Smith, MD

  • Family Medicine Physician
  • Jay, FL
  • NPI 1871546515
  NPD

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1497014161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325650010",
            "telephone_number": "850-675-4546",
            "fax_number": "850-675-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14088 ALABAMA ST",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651036",
            "telephone_number": "850-675-4546",
            "fax_number": "850-675-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J S MICHAEL SMITH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN STEWART",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-675-4546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME89102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Stewart Michael Smith MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory D Heaton OD PA (Jay Vision Center)
• Hayden Hammond
• Gregory D Heaton, OD PA
• Rhonda L Heflin, OTR/L
• Jennifer M Holland
• Jay Hospital, Inc.
• Jay Hospital, Inc.
• Jay Hospital, Inc.
• Jay Pediatrics PA
• Jay Pharmacy of Jay Florida Inc (Jay Pharmacy)

• Family Medicine Physician in Jay, FL
• Providers in Jay, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.