Individual provider Active NPI

Robert W. Smith, M.D.

  • Family Medicine Physician
  • Cullman, AL
National Provider Identifier
1508937723
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10508 Issued in AL
Practice address
210 Main Ave SW
Cullman, AL 35055-3346
Phone
(256) 735-9475
Fax
(256) 841-1429
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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 10508 AL Primary

Addresses

Primary practice location

210 Main Ave SW
Cullman, AL 35055-3346

Mailing address

68278 Main St
Blountsville, AL 35031-3370
Phone (205) 429-4151

Other practice location 1

68278 Main St
Blountsville, AL 35031-3370
Phone (205) 429-4151

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
I20050103000893 AL Practitioner - Emergency MedicinePractitioner - Family Practice 2769440031 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Provision 2, LLCGroup PAC ID 5799162129, 2 clinicians

Practice addresses (Care Compare)

210 Main Ave SW
Cullman, AL 35055-3346
Phone (256) 735-9475

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10508ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Alabama Ed PLLC CurrentSince Oct 11, 2012 Accepting new patients
City of Jackson Healthcare Authority CurrentSince May 1, 2016 Accepting new patients
Ess of Eufaula, LLC CurrentSince Dec 1, 2022 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Nov 1, 2013 Accepting new patients
Alabama Emergency Physician Partners, LLC CurrentSince Jul 25, 2016 Accepting new patients
Vincentian Physician Services LLC Family Medicine Current Accepting new patients
Island Medical Alabama LLC CurrentSince Sep 1, 2018 Accepting new patients
Paragon Contracting Services LLC CurrentSince Jun 17, 2012 Accepting new patients
Provision 2, LLC Family Medicine CurrentSince Aug 9, 2021 Accepting new patients
American Family Care, LLC CurrentSince Nov 1, 2013 Accepting new patients
Alabama Emergency Physician Partners, LLC Current Accepting new patients
Blountsville Health Center Family Medicine Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

68278 Main St
Blountsville, AL 35031
Phone (205) 429-4151

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

210 Main Ave SW
Cullman, AL 35055
Phone (256) 339-9979

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

220 Hospital Dr
Jackson, AL 36545
Phone (251) 246-1159

150 Gilbreath Dr
#201
Oneonta, AL 35121
Phone (205) 274-8198

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1508937723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68278 MAIN ST",
            "city": "BLOUNTSVILLE",
            "state": "AL",
            "postal_code": "350313370",
            "telephone_number": "205-429-4151",
            "fax_number": "205-429-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553346",
            "telephone_number": "256-735-9475",
            "fax_number": "256-841-1429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68278 Main St",
            "address_purpose": "LOCATION",
            "city": "Blountsville",
            "state": "AL",
            "postal_code": "350313370",
            "country_code": "US",
            "telephone_number": "205-429-4151",
            "fax_number": "205-429-4604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.