NPIMap

Individual provider Active NPI

John-Stewart Michael Smith, MD

  • Family Medicine Physician
  • Jay, FL
National Provider Identifier
1497710313
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME89102 Issued in FL
Practice address
14088 Alabama St
Jay, FL 32565-1036
Phone
(850) 675-4546
Fax
(850) 675-4548
NPI assigned
Apr 20, 2006
Last updated
Jul 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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 ME89102 FL Primary

Addresses

Primary practice location

14088 Alabama St
Jay, FL 32565-1036

Mailing address

PO Box 10
14088 Alabama St
Jay, FL 32565-1036
Phone (850) 675-4546

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000388 FL Practitioner - Family Practice 7517999758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panhandle Rural Health IncorporatedGroup PAC ID 1557358801, 5 clinicians
Jay Hospital IncGroup PAC ID 3577466325, 5 clinicians

Practice addresses (Care Compare)

14088 Alabama St
Jay, FL 32565-1036
Phone (850) 675-4546

14114 Alabama St
Jay, FL 32565-1219
Phone (850) 675-8011

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Rural Health Incorporated CurrentSince Sep 1, 2012 Accepting new patients
J S Michael Smith MD PA Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Jay Hospital, Inc. CurrentSince Jul 5, 2005 Accepting new patients
Jeffery S Kelley MD Current Accepting new patients
Jay Hospital, Inc. CurrentSince Jul 5, 2005 Accepting new patients

Locations

14088 Alabama St
Jay, FL 32565
Phone (850) 675-4546

14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000

Interoperability endpoints

  • Direct secure messaging: michael.smith@jaymedical.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1497710313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "address_2": "14088 ALABAMA ST",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651036",
            "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": {
        "last_name": "SMITH",
        "first_name": "JOHN-STEWART",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME89102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jay, FL

Sources for this page

Verify at the official NPI Registry.