Individual provider Active NPI

Christopher L Smith, DO

  • Family Medicine Physician
  • Bedford, IN
National Provider Identifier
1629028782
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02005853A Issued in IN
Practice address
2900 16TH St
Bedford, IN 47421-3510
Phone
(812) 276-4378
Fax
(812) 275-1299
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1153 TN
Emergency Medicine Physician 207P00000X 1223 AL
Family Medicine Physician 207Q00000X DO1153 TN
Internal Medicine Physician 207R00000X DO1153 TN
Family Medicine Physician 207Q00000X 02005853A IN Primary

Addresses

Primary practice location

2900 16TH St
Bedford, IN 47421-3510

Mailing address

821 Carter Farris LN
Winchester, TN 37398-2978
Phone (931) 967-1514

Other practice location 1

821 Carter Farris Ln
Winchester, TN 37398-2978
Phone (931) 691-3445

Other identifiers 1

IdentifierTypeStateIssuer
3809740MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csmith@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, KY, MN, WI, TX, ND7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20041018001245 TN Practitioner - Emergency MedicinePractitioner - Family Practice 6901790252 Reassigns benefits to 7 organizations
I20130115000445 AL Practitioner - HospitalistPractitioner - Emergency Medicine 6901790252 Reassigns benefits to 13 organizations
I20210211000781 KY Practitioner - Emergency MedicinePractitioner - General Practice 6901790252 Reassigns benefits to 2 organizations
I20230306000910 MN Practitioner - Family PracticePractitioner - Emergency Medicine 6901790252 Reassigns benefits to 2 organizations
I20230524003086 WI Practitioner - Emergency MedicinePractitioner - Family Practice 6901790252
I20240305004180 TX Practitioner - Family Practice 6901790252 Reassigns benefits to 1 organization
I20241003000648 ND Practitioner - Emergency Medicine 6901790252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee County Physician Group PCGroup PAC ID 4082671235, 20 clinicians

Practice addresses (Care Compare)

15155 Hwy 43
Russellville, AL 35653-1975
Phone (256) 332-1611

481 Interstate Dr
Manchester, TN 37355-3108
Phone (931) 728-6354

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2710WIMDRegistered Dietitian
DO1153TNMDInternal Medicine Physician
1153TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of Eufaula, LLC Emergency Medicine CurrentSince Jun 6, 2024 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Weiss Lake Hospitalists, LLC CurrentSince Jun 1, 2019 Accepting new patients
Northwest Alabama Emergency Medicine LLC Emergency Medicine CurrentSince Mar 2, 2018 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Jul 15, 2024 Accepting new patients
Mercy Hospital of Devils Lake Emergency Medicine CurrentSince Jul 15, 2024 Accepting new patients
Cherokee County Physicians, LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Community Memorial Hospital Association CurrentSince Feb 22, 2023 Accepting new patients
Coffee County Physician Group PC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
South Central Physicians PLLC CurrentSince Feb 4, 2021 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Oct 22, 2016 Accepting new patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Dec 24, 2023 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Oct 22, 2016 Accepting new patients
Rhea Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Oct 26, 2014 Accepting new patients
Relias Emergency Medicine Specialists of Fayette, LLC Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Rhea Medical Center Current Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Jan 6, 2026 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Sep 28, 2013 Accepting new patients
Relias Emergency Medicine Specialists of Northport, LLC Emergency Medicine CurrentSince Oct 30, 2018 Accepting new patients
Alabama Physicians Group LLC Emergency Medicine CurrentSince May 21, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Hamilton, LLC Emergency Medicine CurrentSince May 3, 2024 Accepting new patients
Volunteer Medical Group, P.C. Emergency Medicine Past Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients
Medical Observation Services LLC Emergency Medicine Past Accepting new patients
Pegasus Emergency Group Gadsden, LLC Emergency Medicine Past Accepting new patients

Locations (25 of 30)

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

3290 Solutions Ctr
Chicago, IL 60677

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: csmith815689@direct.emplifyhealth.org

Organizations & group practices 32

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 32

Hospital & facility affiliations 3

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1629028782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 CARTER FARRIS LN",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982978",
            "telephone_number": "931-967-1514",
            "fax_number": "931-962-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213510",
            "telephone_number": "812-276-4378",
            "fax_number": "812-275-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Carter Farris Ln",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373982978",
            "country_code": "US",
            "telephone_number": "931-691-3445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "1153",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "1223",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO1153",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "DO1153",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005853A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3809740",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csmith@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 16th St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474213510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.