Active NPI
Lovell Smith
- Surgery Physician
- Memphis, TN
National Provider Identifier
1629249032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39730
- Legal business name
- LOVELL SMITH
- Practice address
- 6027 Walnut Grove Rd
Suite 118
Memphis, TN 38120-2145 - Phone
- (866) 224-5612
- Fax
- (901) 853-4530
- NPI assigned
- Mar 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lovell Bernard Smith Jr., MD
- Title
- MD/President
- Phone
- (866) 224-5612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39730 | TN | Primary |
Addresses
Primary practice location
6027 Walnut Grove Rd
Suite 118
Memphis, TN 38120-2145
Mailing address
6027 Walnut Grove Rd
Suite 118
Memphis, TN 38120-2145
Phone (866) 224-5612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1629249032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6027 WALNUT GROVE RD",
"address_2": "SUITE 118",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202145",
"telephone_number": "866-224-5612",
"fax_number": "901-853-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6027 WALNUT GROVE RD",
"address_2": "SUITE 118",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202145",
"telephone_number": "866-224-5612",
"fax_number": "901-853-4530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVELL SMITH",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LOVELL",
"authorized_official_middle_name": "BERNARD",
"authorized_official_title_or_position": "MD/PRESIDENT",
"authorized_official_telephone_number": "866-224-5612",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TN",
"license": "39730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.