Active NPI
Jesse Thomas Smith, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 17824
- Practice address
- 7 Independence PT Ste 300
Greenville, SC 29615-4569 - Phone
- (864) 522-3700
- Fax
- (864) 522-3705
- NPI assigned
- May 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 102323 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 17824 | SC | Primary |
Addresses
Primary practice location
7 Independence PT Ste 300
Greenville, SC 29615-4569
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
701 Grove Rd
Greenville, SC 29605-5611
Phone (864) 455-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089906 | Other | SC | AANA CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
67 Creekside Park CT
Greenville, SC 29615-4810
Phone (864) 522-3700
830 S Buncombe Rd
Greer, SC 29650-2400
Phone (864) 455-2455
Hospital & facility affiliations
- Prisma Health Greer Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102323 | SC | MD | Certified Registered Nurse Anesthetist |
| 17824 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Diagnostic Radiology of Anderson, P.a. | Current | Accepting new patients | |
| Anesthesiology Services of Anderson, PA | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pathology Associates of Greenville PA | Current | Accepting new patients |
Locations
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
1413 John B White SR Blvd
Ste D
Spartanburg, SC 29306
Phone (864) 587-5768
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Anesthesiology Physician
- Anderson, SC
- NPI 1174513824
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1710918321
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1588685333
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1922125269
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1225453269
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, SC
- NPI 1831151976
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Anesthesiology Physician
- Greenville, SC
- NPI 1528465374
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1629432869
-
- General Acute Care Hospital
- Greer, SC
- NPI 1821760430
-
- General Acute Care Hospital
- Greer, SC
- NPI 1982150009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1548528201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154569",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705"
}
],
"practiceLocations": [
{
"address_1": "701 Grove Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296055611",
"country_code": "US",
"telephone_number": "864-455-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JESSE",
"middle_name": "THOMAS",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-01",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "102323",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "17824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA CERTIFICATION",
"identifier": "089906",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.