M Kevin Smith MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD27936 Issued in TN

Legal business name

M KEVIN SMITH MD PC

Practice address

4230 Harding Pike Ste 104
Nashville, TN 37205-4900

Phone

(615) 383-4748

NPI assigned

Mar 1, 2006

Organization subpart

No

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

Authorized official

Name

Lisa Smith

Title

Secretary

Phone

(615) 612-3541

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Kevin Smith, MD

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1548460066
  Medicare reassignment NPD

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1548237266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50976",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372059998",
            "telephone_number": "615-383-4748",
            "fax_number": "615-383-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054900",
            "telephone_number": "615-383-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M KEVIN SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-612-3541"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD27936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RAILROAD",
            "identifier": "110215825",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3158590",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa R. Lyons, L.C.S.W.
• Rodrick Lyons
• Raymond D Lysinger, ATC
• Teresa Lyttle
• M a M LLC
• M Peace Transport LLC
• M. Terry Burkhalter, MD, PC
• M.Paula Fedler D.D.S.,PLLC
• Jacqueline Ma
• Junqi Ma

• Internal Medicine Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.