Individual provider Active NPI

Amanda Smith, MD

  • Pediatrics Physician
  • Batesville, AR
National Provider Identifier
1588028302
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E-12155 Issued in AR
Practice address
1700 Harrison St Ste N
Batesville, AR 72501-7315
Phone
(870) 262-2200
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X E-12155 AR Primary

Addresses

Primary practice location

1700 Harrison St Ste N
Batesville, AR 72501-7315

Mailing address

1700 Harrison St Ste N
Batesville, AR 72501-7315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20190711001818 AR Practitioner - Pediatric Medicine 3173811643 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-12155ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Apr 3, 2025 Accepting new patients
White River Health System, Inc. CurrentSince Mar 31, 2025 Accepting new patients
White River Health System, Inc. CurrentSince Jun 5, 2025 Accepting new patients
White River Health System, Inc. Current Accepting new patients
White River Health System, Inc. CurrentSince Mar 31, 2025 Accepting new patients
White River Health System, Inc. Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
White River Health System Inc CurrentSince May 29, 2025 Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361

1700 Harrison St
Ste N
Batesville, AR 72501
Phone (870) 262-2200

195 Hospital Dr
Ste B
Cherokee Vlg, AR 72529
Phone (870) 257-6000

105 Case Commons Dr
Mountain View, AR 72560
Phone (870) 269-4144

501 Vine St
Newark, AR 72562
Phone (870) 799-3299

1217 Batesville Blvd
Southside, AR 72501
Phone (870) 262-2800

1217 Batesville Blvd
#F
Southside, AR 72501
Phone (870) 262-2800

Interoperability endpoints

  • Direct secure messaging: amanda.smith.1@13831.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1588028302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST STE N",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST STE N",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017315",
            "telephone_number": "870-262-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-12155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.