Michael Jude Guillory-Smith, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G74418 Issued in CA

Practice address

138 Palm Coast Pkwy NE Ste 271
Palm Coast, FL 32137-8241

Phone

(386) 586-2000

NPI assigned

Apr 19, 2007

Last updated

Oct 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Anesthesiology

Education

Howard University College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Anesthesia and Pain Management Associates, LLCGroup PAC ID 2668489709, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• Florida Anesthesia & Pain Management Associates, LLC

  • Pain Clinic/Center
  • Clermont, FL
  • NPI 1487792792
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1568689644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E HIGHWAY 50",
            "address_2": "STE 151",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113164",
            "telephone_number": "386-586-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PALM COAST PKWY NE STE 271",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378241",
            "telephone_number": "386-586-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY-SMITH",
        "first_name": "MICHAEL",
        "middle_name": "JUDE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G74418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Griffin, MFC # 42984
• Jonathan Brian Grimes, DDS
• Ariana Gross, ARNP
• Veronica Lynn Groves, PHARMD
• Sibel N Guelseren, M.ED./ED.S.
• Mark Guirguis, DO
• Michael Gunter, M.D.
• Miranda Gurley
• Genesis Crystal Guzman Davila
• GV Palm Coast, LLC (Grand Villa of Palm Coast)

• Anesthesiology Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.