Individual provider Active NPI

Lindsay Elizabeth Smith

  • Family Medicine Physician
  • Hartselle, AL
National Provider Identifier
1508029620
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30012 Issued in AL
Practice address
1211 Hwy 31 NW
Hartselle, AL 35640
Phone
(256) 773-6017
Fax
(256) 773-7834
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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 30012 AL Primary

Addresses

Primary practice location

1211 Hwy 31 NW
Hartselle, AL 35640

Mailing address

1211 Highway 31 NW
Hartselle, AL 35640-4420
Phone (256) 773-6017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110919000684 AL Practitioner - Family Practice 0840461091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gladstone Primary Care PCGroup PAC ID 7315304201, 3 clinicians

Practice addresses (Care Compare)

301 Pine St NW
Suite a
Hartselle, AL 35640-6227
Phone (256) 773-6017

Hospital & facility affiliations

  • Decatur Morgan Homecare Home health agency, Decatur, AL, CCN 017027
  • Madison Home Health Services, LLC Home health agency, Huntsville, AL, CCN 017880
  • Enhabit Home Health Home health agency, Muscle Shoals, AL, CCN 017326
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085
  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30012ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gladstone Primary Care PC Family Medicine CurrentSince Feb 21, 2023 Accepting new patients

Locations

301 Pine St NW
Ste A
Hartselle, AL 35640
Phone (256) 773-5469

Organizations & group practices 1

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 5

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1508029620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404420",
            "telephone_number": "256-773-6017",
            "fax_number": "256-773-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HWY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "35640",
            "telephone_number": "256-773-6017",
            "fax_number": "256-773-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LINDSAY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "30012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

Verify at the official NPI Registry.