Kenny E. Smith M.D.,PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KENNY E. SMITH M.D.,PC

Practice address

760 Chestnut St
Gadsden, AL 35901-4147

Phone

(256) 543-1100

Fax

(256) 543-1101

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenny E Smith, M.D.NPI 1295736460

Title

Physician/Owner

Phone

(256) 543-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenny Smith, M.D.

  • Internal Medicine Physician
  • Gadsden, AL
  • NPI 1295736460
  Medicare reassignment NPD Authorized official
• Jimmy Wayne Bowlin Jr., CRNP

  • Family Nurse Practitioner
  • Gadsden, AL
  • NPI 1922192293
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629176151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 CHESTNUT ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014147",
            "telephone_number": "256-543-1100",
            "fax_number": "256-543-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CHESTNUT ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014147",
            "telephone_number": "256-543-1100",
            "fax_number": "256-543-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY E. SMITH M.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "256-543-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51080192",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jed L Kaplan, MD
• Sandip KC, MD
• Marilyn Kelleher, M.D.
• Amy S Kelley, MD
• Christopher Gordon Kelley, MD
• Krishna Chaitanya Keri, MD
• Barbara J Khajavi
• Huma Khusro, MD
• Selena Kidd, BA
• Karen Denise Kilgo, M.S

• Internal Medicine Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.