Staci Charlene Smith, DO

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

34.010025 Issued in OH

Practice address

100 Jackson Pike
Gallipolis, OH 45631-1560

Phone

(855) 446-5937

Fax

(740) 446-5573

NPI assigned

May 14, 2007

Last updated

Mar 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV, OH, TN, KY6 enrollments

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 6

Specialty

Internal MedicineAlso: Nephrology

Education

West Virginia University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holzer Clinic LLCGroup PAC ID 5890606008, 266 clinicians

Internal Medicine Care, IncGroup PAC ID 8527959113, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
• Holzer Medical Center Hospital, Gallipolis, OH, CCN 360054

Merit-based Incentive Payment System (MIPS)

Final score

92.67 of 100Reported as group

Quality

81.47

Promoting interoperability

100

Improvement activities

40

Cost

81.83

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: staci.smith1@17389.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holzer Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Gallipolis, OH
  • NPI 1508817248
  Medicare reassignment Care Compare group
• Internal Medicine Care, Inc

  • Internal Medicine Physician
  • Beavercreek, OH
  • NPI 1508808098
  Medicare reassignment Care Compare group
• Hospitalist Medicine Physicians of West Virginia- TCG PLLC

  • Internal Medicine Physician
  • South Charleston, WV
  • NPI 1386122844
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of West Virginia, PLLC

  • Internal Medicine Physician
  • Wheeling, WV
  • NPI 1649575101
  Medicare reassignment NPD
• Pikeville Medical Center Inc.

  • Multi-Specialty Clinic/Center
  • Pikeville, KY
  • NPI 1528195864
  Medicare reassignment NPD
• Racine Observation Medical Group, PLLC

  • Emergency Medicine Physician
  • Huntington, WV
  • NPI 1588196851
  Medicare reassignment NPD
• Renal Medical Associates PC

  • Specialist
  • Powell, TN
  • NPI 1598717126
  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine

  Medicare reassignment NPD
• St Mary's Hospitalist Services, LLC

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1942432687
  Medicare reassignment NPD
• THS Physician Partners Inc

  • Internal Medicine Physician
  • South Charleston, WV
  • NPI 1871866806
  Medicare reassignment NPD
• Huntington Hospitalist Group Inc

  • Hospitalist Physician
  • Huntington, WV
  • NPI 1750710166
  Medicare reassignment
• Internal Medicine Care, Inc

  • Internal Medicine Physician
  • Dayton, OH
  • NPI 1770002644
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• Holzer Hospital Foundation

  • Rural Acute Care Hospital
  • Gallipolis, OH
  • NPI 1942256888
  Care Compare affiliation

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1558576454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311562",
            "telephone_number": "855-446-5937",
            "fax_number": "740-446-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "855-446-5937",
            "fax_number": "740-446-5573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "367 County Road 406 Ste 101",
            "address_purpose": "LOCATION",
            "city": "South Point",
            "state": "OH",
            "postal_code": "456808766",
            "country_code": "US",
            "telephone_number": "740-894-0830 x65937",
            "fax_number": "740-844-0844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 State St",
            "address_purpose": "LOCATION",
            "city": "Proctorville",
            "state": "OH",
            "postal_code": "456698163",
            "country_code": "US",
            "telephone_number": "855-446-5937",
            "fax_number": "740-446-5573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 Pine St",
            "address_purpose": "LOCATION",
            "city": "Gallipolis",
            "state": "OH",
            "postal_code": "456311536",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "fax_number": "740-446-5573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACI",
        "middle_name": "CHARLENE",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2458",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34.010025",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "2458",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "04204",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "34.010025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staci.smith1@17389.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "100 Jackson Pike",
            "city": "Gallipolis",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456311560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dianna Kay Smith, MSN, CNP, FNP, PMHNP
• Emily Smith
• Gregory Carter Smith, CDCA
• Mindell Ann Smith
• Rain Smith
• Cherish Olivia Soles, RN
• Southeast Ohio Emergency Medical Services District
• Southern Ohio Emergency Physicians LLP
• Southern Ohio Eye Surgical Assoc., LLC
• Southern Ohio Solutions, Inc.

• Nephrology Physician in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.
• 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.

Verify at the official NPI Registry.