Lovell Bernard Smith Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

39730 Issued in TN

Practice address

554 Green Tree CV
Ste 202
Collierville, TN 38017-2551

Phone

(901) 570-1775

Fax

(901) 853-4530

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Baptist Memorial Medical Group Inc

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1841006129
  NPD (past)
• Charles R. Andrews

  • Surgery Physician
  • Memphis, TN
  • NPI 1891907754
  NPD (past)
• Franciscan Health Crown Point

  • Community/Retail Pharmacy
  • Crown Point, IN
  • NPI 1184250623
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1528064789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 GREEN TREE CV STE 202",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172551",
            "telephone_number": "901-570-1775",
            "fax_number": "833-765-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 GREEN TREE CV",
            "address_2": "STE 202",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172551",
            "telephone_number": "901-570-1775",
            "fax_number": "901-853-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LOVELL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "39730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507654",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08084063",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS TN",
            "identifier": "4313546",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103I021824",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200419540A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lemar Siegfried, ATC/L
• Lorelei Tara Sims, ATC, LAT
• Sisters Dependable Care Inc
• Nicholas Slavens, DC
• Sleep Source Tennessee
• Morgan Smith, MS, CCC-SLP
• Tamra L Smith, M.D.
• Ty Smith, OD
• Kate Weeden Snyder, FNP-C
• Carol Solo, CST

• Surgery Physician in Collierville, TN
• Providers in Collierville, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.