Individual provider Active NPI

Audrey Renee Smith, DO

  • Family Medicine Physician
  • Ashland, KY
National Provider Identifier
1538514567
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04496 Issued in KY
Practice address
1101 Saint Christopher Dr Ste 250
Ashland, KY 41101-7088
Phone
(606) 836-3196
Fax
(606) 836-2564
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 04496 KY Primary

Addresses

Primary practice location

1101 Saint Christopher Dr Ste 250
Ashland, KY 41101-7088

Mailing address

1101 Saint Christopher Dr Ste 250
Ashland, KY 41101-7088
Phone (606) 836-3196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190703001877 KY Practitioner - Family Practice 9032400759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Center, PLLCGroup PAC ID 1759352842, 6 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1180 Saint Christopher Dr
Ashland, KY 41101-7055
Phone 6068363196229

710 N Carol Malone Boulevard
Suite a
Grayson, KY 41143-1126
Phone (606) 474-0157

7700 Ohio River Rd
Suite B
Wheelersburg, OH 45694-1653
Phone (740) 574-4616

Hospital & facility affiliations

  • St Mary'S Home Health Service Home health agency, Proctorville, OH, CCN 368269
  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Ashland, KY, CCN 187302
  • King'S Daughters' Medical Center HHA Home health agency, Ashland, KY, CCN 187047
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361
  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score
22.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Center, PLLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

1101 Saint Christopher Dr
Ste 250
Ashland, KY 41101
Phone (606) 836-3196

1180 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 408-3143

Interoperability endpoints

  • Direct secure messaging: asmith72434@direct.kdhealth.us

Organizations & group practices 1

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 6

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1538514567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR STE 250",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017088",
            "telephone_number": "606-836-3196",
            "fax_number": "606-836-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR STE 250",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017088",
            "telephone_number": "606-836-3196",
            "fax_number": "606-836-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUDREY",
        "middle_name": "RENEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.