Individual provider Active NPI

Andrea Cover Smith, MD

  • Family Medicine Physician
  • Travelers Rest, SC
National Provider Identifier
1619261393
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33607 Issued in SC
Practice address
1588 Geer Hwy
Travelers Rest, SC 29690-9204
Phone
(864) 836-1109
Fax
(864) 836-6365
NPI assigned
May 31, 2011
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33607 SC Primary

Addresses

Primary practice location

1588 Geer Hwy
Travelers Rest, SC 29690-9204

Mailing address

PO Box 287
Greenville, SC 29602-0287
Phone (864) 233-1534

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
I20120807000917 SC Practitioner - Family Practice 9133375165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-6583
Phone (864) 605-3721

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33607SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Family Health Services, Inc. CurrentSince Sep 8, 2014 Accepting new patients
New Horizon Family Health Services Inc CurrentSince Sep 8, 2014 Accepting new patients
St Francis Physician Services Inc CurrentSince Sep 1, 2020 Accepting new patients
St Francis Physician Services Inc Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients
New Horizon Family Health Services Inc. PastSince Sep 10, 2023 Accepting new patients

Locations

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

130 Mallard St
Greenville, SC 29601
Phone (864) 233-1534

Interoperability endpoints

  • Direct secure messaging: asmith1155856@direct.bsmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1619261393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296020287",
            "telephone_number": "864-233-1534",
            "fax_number": "864-751-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 GEER HWY",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909204",
            "telephone_number": "864-836-1109",
            "fax_number": "864-836-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREA",
        "middle_name": "COVER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "33607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

Verify at the official NPI Registry.