Individual provider Active NPI

David Kevin Smith, MD

  • Gynecology Physician
  • Mt Pleasant, SC
National Provider Identifier
1609834068
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
8893 Issued in SC
Practice address
1300 Hospital Dr
Ste 250
Mt Pleasant, SC 29464
Phone
(843) 971-8180
Fax
(843) 971-9239
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 8893 SC Primary
Surgery Physician 208600000X 8893 SC

Addresses

Primary practice location

1300 Hospital Dr
Ste 250
Mt Pleasant, SC 29464

Mailing address

725 Long Point Rd
Mt Pleasant, SC 29464-8226
Phone (843) 971-8180

Other identifiers 1

IdentifierTypeStateIssuer
GP3545MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090325000680 SC Practitioner - Obstetrics/Gynecology 0345131504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edmund Rhett, Jr., M.D., P.a.Group PAC ID 2961404447, 2 clinicians

Practice addresses (Care Compare)

1300 Hospital Dr
Suite 150
Mt Pleasant, SC 29464-3243
Phone (843) 375-2210

Hospital & facility affiliations

  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8893SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edmund Rhett, Jr., M.D., P.a. Gynecology CurrentSince Sep 1, 2008 Accepting new patients
David K. Smith M D LLC Gynecology PastSince Sep 9, 2002 Accepting new patients

Locations

1300 Hospital Dr
Ste 150
Mt Pleasant, SC 29464
Phone (843) 375-2210

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1609834068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 LONG POINT RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648226",
            "telephone_number": "843-971-8180",
            "fax_number": "843-971-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR",
            "address_2": "STE 250",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-971-8180",
            "fax_number": "843-971-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "8893",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "8893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3545",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.