Individual provider Active NPI

Jeffrey D Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Oxford, AL
National Provider Identifier
1609825959
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-049134 Issued in AL
Practice address
1440 Highway Dr
Oxford, AL 36203-1951
Phone
(256) 241-2230
Fax
(256) 241-2235
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-049134 AL Primary

Addresses

Primary practice location

1440 Highway Dr
Oxford, AL 36203-1951

Mailing address

PO Box 2644
Birmingham, AL 35202-2644
Phone (205) 322-1808

Other identifiers 3

IdentifierTypeStateIssuer
51504038OtherALBLUE SHIELD
051504038MedicaidAL
430074751OtherALPALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AR, TN, GA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110106000829 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648469684 Reassigns benefits to 3 organizations
I20151002001987 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648469684 Reassigns benefits to 1 organization
I20160713001381 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648469684 Reassigns benefits to 1 organization
I20170317001459 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648469684 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WGG Anesthesia LLCGroup PAC ID 4981875325, 7 clinicians

Practice addresses (Care Compare)

160 Clinic Ave
Carrollton, GA 30117-4451
Phone (770) 214-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
12108TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2018 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2017 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 26, 2023 Accepting new patients
GSG Anesthesia, LLC CurrentSince Mar 1, 2022 Accepting new patients
Dpi of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 14, 2019 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 11, 2015 Accepting new patients
Everest Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 19, 2023 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 11, 2015 Accepting new patients
Blue Lake Health Alabama, LLC CurrentSince Sep 1, 2024 Accepting new patients
WGG Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2017 Accepting new patients
Vaughan Regional Medical Center LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

52 Medical Park Dr E
Ste 401
Birmingham, AL 35235
Phone (205) 838-3524

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

2637 Valleydale Rd
#200
Hoover, AL 35244

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1440 Highway Dr
Oxford, AL 36203
Phone (256) 241-2230

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

721 Wellness Way
Ste 110
Lawrenceville, GA 30046
Phone (770) 995-7923

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

1706 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 983-0073

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1609825959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2644",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022644",
            "telephone_number": "205-322-1808",
            "fax_number": "205-322-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HIGHWAY DR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031951",
            "telephone_number": "256-241-2230",
            "fax_number": "256-241-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-049134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "51504038",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051504038",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "430074751",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.

Verify at the official NPI Registry.