Marvin Montgomery Smith, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

46014 Issued in TN

Practice address

1224 Trotwood Ave
Dept of Radiology
Columbia, TN 38401-4802

Phone

(931) 381-1111

NPI assigned

Jul 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 13

Addresses

Other names 1

• Monty Smith Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Diagnostic Radiology

Education

East Tennessee State University Quillen College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Radiology Associates PLLCGroup PAC ID 7214913649, 41 clinicians

Spring Hill Imaging Center, LLCGroup PAC ID 3577666536, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
• Wayne Medical Center Hospital, Waynesboro, TN, CCN 440780
• Marshall Medical Center Hospital, Lewisburg, TN, CCN 441309
• Southern Tennessee Regional Health System Lawrence Hospital, Lawrenceburg, TN, CCN 440175
• Southern Tennessee Regional Health System Pulaski Hospital, Pulaski, TN, CCN 440020

Merit-based Incentive Payment System (MIPS)

Final score

97.31 of 100Reported as group

Quality

94.63

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.58 of 100Reported as group

Quality

83.16

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • Columbia, TN
  • NPI 1467460725
  Medicare reassignment Care Compare group NPD
• Spring Hill Imaging Center LLC

  • Radiology Clinic/Center
  • Spring Hill, TN
  • NPI 1073692158
  Medicare reassignment Care Compare group NPD
• Dynamic Radiology Tennessee, PC

  • Diagnostic Radiology Physician
  • Clarksville, TN
  • NPI 1588387096
  Medicare reassignment NPD
• Nashville Healthcare Diagnostic Center, LLC

  • Radiology Clinic/Center
  • Nashville, TN
  • NPI 1770262503
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crockett Hospital LLC

  • Rural Acute Care Hospital
  • Lawrenceburg, TN
  • NPI 1114003175
  Care Compare affiliation
• Hillside Hospital LLC

  • Rural Acute Care Hospital
  • Pulaski, TN
  • NPI 1841388519
  Care Compare affiliation
• Maury Regional Hospital

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  • General Acute Care Hospital
  • Waynesboro, TN
  • NPI 1811927544
  Care Compare affiliation
• Maury Regional Hospital

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• Maury Regional Hospital Marshall Medical Center

  • Critical Access Hospital
  • Lewisburg, TN
  • NPI 1578591756
  Care Compare affiliation

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1508064890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063239",
            "telephone_number": "844-295-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TROTWOOD AVE",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014802",
            "telephone_number": "931-381-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5421 Main St",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371744410",
            "country_code": "US",
            "telephone_number": "615-577-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARVIN",
        "middle_name": "MONTGOMERY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-07",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "SC",
            "license": "TL34514",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "46014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msmith@sratn.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health information service provider",
            "address_1": "5421 Main St",
            "city": "Spring Hill",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371744410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MONTY",
            "last_name": "SMITH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline Rena Smith, APRN, BC
• Jaime Smith
• Lang Smith
• Lauren Smith, RN
• Linda R Smith, OFFICIAL AGENT
• Megan Leigh Smith
• Richard P Smith, M.D.
• Shannon Smith, L.P.C.
• Steven C Smith, MD
• Tina Annette Smith, CPS

• Diagnostic Radiology Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.