Individual provider Active NPI

Frederic A Smith, MD

  • Internal Medicine Physician
  • Irmo, SC
National Provider Identifier
1528029287
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16739 Issued in SC
Practice address
7182 Woodrow St Ste 200
Irmo, SC 29063-2832
Phone
(803) 749-1111
Fax
(803) 749-0050
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16739 SC Primary

Addresses

Primary practice location

7182 Woodrow St Ste 200
Irmo, SC 29063-2832

Mailing address

7182 Woodrow St Ste 200
Irmo, SC 29063-2832
Phone (843) 371-0419

Other practice location 1

1 Wellness Blvd Ste 104
Irmo, SC 29063-2872
Phone (803) 749-1111

Other practice location 2

7021 Saint Andrews Rd # 2
Columbia, SC 29212-1177
Phone (803) 749-1111

Other identifiers 1

IdentifierTypeStateIssuer
167394MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100818000765 SC Practitioner - Internal Medicine 5991839599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7182 Woodrow St
Suite 200
Irmo, SC 29063-2832
Phone (803) 749-1111

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Columbia, SC, CCN 427061
  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • Prisma Health Homecare Home health agency, Columbia, SC, CCN 427013
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16739SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Medical Associates, P.a. Internal Medicine Current Accepting new patients
South Carolina Internal Medicine Associates and Rehabilitation,L.L.C. Internal Medicine CurrentSince Oct 5, 2020 Accepting new patients
Providence Health Network, LLC Internal Medicine Past Accepting new patients

Locations

2750 Laurel St
Ste 303
Columbia, SC 29204
Phone (803) 252-1953

7021 Saint Andrews Rd
#2
Columbia, SC 29212
Phone (803) 749-1111

2750 Laurel St
Ste S303
Columbia, SC 29204
Phone (803) 252-1953

1901 Main St
#1105
Columbia, SC 29201

1 Wellness Blvd
Ste 104
Irmo, SC 29063
Phone (803) 227-4844

7182 Woodrow St
Ste 200
Irmo, SC 29063
Phone (803) 749-1111

Interoperability endpoints

  • Direct secure messaging: fsmith461681@direct.ghs.myhfn.org

Organizations & group practices 3

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1528029287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632832",
            "telephone_number": "843-371-0419",
            "fax_number": "803-749-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632832",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Wellness Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632872",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7021 Saint Andrews Rd # 2",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FREDERIC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "16739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167394",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.