Christina Clem Smith, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25555 Issued in AL

Practice address

2016 Stonegate Trail
Suite 100
Vestavia, AL 35242

Phone

(205) 504-4290

Fax

(619) 346-4802

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 18, 2019 through Apr 18, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cullman County Medical Clinic Inc

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1609879220
  NPD (past)
• South Alabama Diagnostic Imaging, P.C.

  • Diagnostic Radiology Physician
  • Geneva, AL
  • NPI 1477615938
  NPD (past)
• Warren Behavioral Care

  • Professional Counselor
  • Dothan, AL
  • NPI 1851762009
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1568492007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 GREEN VALLEY RD STE 408",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435239",
            "telephone_number": "205-504-4290",
            "fax_number": "619-346-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 STONEGATE TRAIL",
            "address_2": "SUITE 100",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-504-4290",
            "fax_number": "619-346-4802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Andrews Avenue",
            "address_purpose": "LOCATION",
            "city": "Ft Rucker",
            "state": "AL",
            "postal_code": "36362",
            "country_code": "US",
            "telephone_number": "334-503-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTINA",
        "middle_name": "CLEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "25555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937516",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPS",
            "identifier": "051004050",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Smith
• Abigail G Smith
• Ashley Megan Smith, CRNP
• Ashley Nicole Smith
• Ben Smith, ALCHOHOL AND DRUG CO
• Jaclyn Merriman Smith, M.C.D., CCC-SLP
• Lawanda Danielle Smith, ALC
• Milton M. Smith III, D.C.
• Natasha Renee Smith
• Renee N. Smith, LICSW

• Psychiatry Physician in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.