Bobby Smith II, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16026 Issued in MS

Practice address

921 West Beacon Street
Philadelphia, MS 39350

Phone

(601) 656-6116

Fax

(601) 656-5445

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bobbysmith@neshobahealth.cernerdirect.com

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.

• Neshoba Physician Billing Service

  • Multi-Specialty Clinic/Center
  • Philadelphia, MS
  • NPI 1841404985

  MS

  Medicare reassignment NPD
• Neshoba County General Hospital

  • Rural Health Clinic/Center
  • Philadelphia, MS
  • NPI 1528295532
  NPD
• Neshoba Physicians Billing Service

  • Diagnostic Radiology Physician
  • Philadelphia, MS
  • NPI 1114383874
  NPD
• North Ms Emergency Physicians

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1891724035
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1619933744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 WEST BEACON STREET",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "39350",
            "telephone_number": "601-656-6116",
            "fax_number": "601-656-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 WEST BEACON STREET",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "39350",
            "telephone_number": "601-656-6116",
            "fax_number": "601-656-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BOBBY",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "16026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119762",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Shrock-Haggard
• Michael B. Shrock, D.O.
• Laura Hope Sims, PHARM. D.
• Laura Sistrunk
• Angela K Skinner, FNP
• Meghin Smith, RN
• Tremmia Smith, L.P.C
• Southern Pharmaceutical Corporation
• Anna Fulton Spence, DPT
• Heidi Starks, LCSW

• All providers in Philadelphia, MS
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.