NPIMap

Individual provider Active NPI

Gary Anthony Smith, M.D.

  • Family Medicine Physician
  • Henderson, NC
National Provider Identifier
1528271848
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008-00018 Issued in NC
Practice address
120 Charles Rollins Rd
Suite 102
Henderson, NC 27536
Phone
(252) 438-0440
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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 2008-00018 NC Primary

Addresses

Primary practice location

120 Charles Rollins Rd
Suite 102
Henderson, NC 27536

Mailing address

566 Ruin Creek Rd
PO Box 59
Henderson, NC 27536
Phone (330) 265-8823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000619 NC Practitioner - Emergency MedicinePractitioner - Family Practice 7315013984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem Capital Physicians PLLCGroup PAC ID 8628320918, 18 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Louisburg, NC 27549-2256
Phone (252) 438-4143

120 Charles Rollins Rd
Henderson, NC 27536-2882

511 Ruin Creek Rd
Henderson, NC 27536-5919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-00018NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gem Capital Physicians, PLLC CurrentSince Dec 15, 2018 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Nov 1, 2011 Accepting new patients
DLP Maria Parham Physician Practices, LLC Family Medicine Current Accepting new patients
DLP Maria Parham Physician Practices, LLC Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Bull City Physicians, PLLC CurrentSince Jan 13, 2018 Accepting new patients
DLP Maria Parham Physician Practices, LLC Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

120 Charles Rollins Rd
Ste 102
Henderson, NC 27536
Phone (252) 436-0440

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: gary.smith.1@20247.direct.athenahealth.com

Organizations & group practices 7

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 7

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1528271848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 RUIN CREEK RD",
            "address_2": "PO BOX 59",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "330-265-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS RD",
            "address_2": "SUITE 102",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "252-438-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GARY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-00018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.