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
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

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 Incorporated 5 clinicians
Jay Hospital Inc 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

  • Centerwell Home Health Home health agency, Pensacola, FL, CCN 107792
  • Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
  • Baptist Home Health Care Home health agency, Pensacola, FL, CCN 107006
  • Emerald Coast Hospice Hospice, Panama City, FL, CCN 101537
  • Jay Hospital Hospital, Jay, FL, CCN 101315
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • D W McMillan Memorial Hospital Hospital, Brewton, AL, CCN 010099
  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124
  • Jay Hospital Nursing home, CCN 10Z315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050908000388 FL Practitioner - Family Practice 7517999758 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89102FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Hospital, Inc. CurrentSince Jul 5, 2005 Accepting new patients
Panhandle Rural Health Incorporated CurrentSince Sep 1, 2012 Accepting new patients
Jeffery S Kelley MD Current 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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME89102 FL Primary

Addresses

NPPES NPI Registry

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

Other identifiers 24

NPPES NPI Registry
IdentifierTypeStateIssuer
01512OtherFLBCBS OF FLORIDA
2357174OtherFLCIGNA INTERNATIONAL
2553182OtherFLUNITED HEALTHCARE
2553182OtherFLUNITED HEALTCHARE
660022100MedicaidFL
7839652OtherFLAETNA US HEALTHCARE
P00368813OtherFLRAILROAD MEDICARE
01512OtherFLHEALTH 1ST NETWORK, INC.
21333OtherFLBLUE MEDICARE ADVANTAGE
2553182OtherFLDEFINITY HEALTH CLAIMS
660022102MedicaidFL
01512OtherFLPREFERRED PATIENT CARE
01512OtherFLADVANTAGE 65
7839652OtherFLAETNA GLOBAL BENEFITS
I39377OtherFLVISTA
W560OtherFLWELLCARE
541900106OtherALALACAID
7839652OtherFLAETNA
009996365OtherALALACAID
2357174OtherFLCIGNA HEALTHCARE
272533900MedicaidFL
21333OtherFLBCBS OF FLORIDA
59180291OtherALBLUE CROSS AND BLUE SHIELD OF ALABAMA
593216460A06OtherFLMEDICAL MUTUAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2008.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "01512",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INTERNATIONAL",
            "identifier": "2357174",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2553182",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTCHARE",
            "identifier": "2553182",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660022100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7839652",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00368813",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH 1ST NETWORK, INC.",
            "identifier": "01512",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE MEDICARE ADVANTAGE",
            "identifier": "21333",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEFINITY HEALTH CLAIMS",
            "identifier": "2553182",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660022102",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED PATIENT CARE",
            "identifier": "01512",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTAGE 65",
            "identifier": "01512",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GLOBAL BENEFITS",
            "identifier": "7839652",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "I39377",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "W560",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALACAID",
            "identifier": "541900106",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7839652",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALACAID",
            "identifier": "009996365",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "2357174",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272533900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "21333",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ALABAMA",
            "identifier": "59180291",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "593216460A06",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jay, FL

Sources for this page

Verify at the official NPI Registry.