Khercie Smith, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301116055 Issued in MI

Practice address

56 Marie Langdon Dr
Manchester, KY 40962-6329

Phone

(606) 599-4080

NPI assigned

Jun 30, 2018

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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: ksmith659151@adventhealth.direct-ci.com

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.

• Memorial Hospital Inc.

  dba AdventHealth Manchester

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1255471827

  Pediatrics

  Medicare reassignment NPD
• Memorial Hospital, Inc.

  dba AdventHealth Red Bird Clinic

  • Rural Health Clinic/Center
  • Beverly, KY
  • NPI 1558665752
  Medicare reassignment NPD
• Memorial Hospital, Inc.

  dba Physician Services of Memorial Hospital

  • Specialist
  • Manchester, KY
  • NPI 1831150119
  Medicare reassignment NPD
• Memorial Hospital, Inc.

  dba AdventHealth Oneida Clinic

  • Rural Health Clinic/Center
  • Oneida, KY
  • NPI 1881112134
  Medicare reassignment NPD
• Memorial Hospital, Inc.

  dba Adventhealth Manchester

  • Rural Acute Care Hospital
  • Manchester, KY
  • NPI 1811922347
  NPD (past)

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1629563747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BARCLAY AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626329",
            "telephone_number": "606-599-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KHERCIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301116055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerry Smith
• James L. Smith, CRNA
• Joie Smith, CPSS, CSA, TCM
• Kelli Jo Smith, OTRL
• Kenna Smith
• Rachael Lee Smith
• Rhonda Renee Smith
• Serena E Smith, M.S., CCC-SLP
• Sherri Larae Smith, APRN
• Suzann Smith, APRN

• Pediatrics Physician in Manchester, KY
• Providers in Manchester, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.