Michael A Smith, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1532 Issued in AL

Practice address

6801 Airport Blvd
Mobile, AL 36608-3709

Phone

(251) 266-1900

NPI assigned

Sep 21, 2019

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

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Eastern Shore Urgent Care LLC

  • Family Medicine Physician
  • Daphne, AL
  • NPI 1376706275
  Medicare reassignment
• Mobile Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Mobile, AL
  • NPI 1881934982
  Medicare reassignment
• Eastern Shore Urgent Care LLC

  • Urgent Care Clinic/Center
  • Chestertown, MD
  • NPI 1548924988
  NPD (past)

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1639720600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 SPRING VALLEY DR S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934358",
            "telephone_number": "251-709-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083709",
            "telephone_number": "251-266-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29710 Urgent Care Dr",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365269595",
            "country_code": "US",
            "telephone_number": "251-626-3782",
            "fax_number": "251-626-0787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-21",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA1532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy Smith
• Mary Barrett Smith, LICSW
• Mary Jane Smith, CRNP
• Megan Kennedy Smith, NNP-BC, CRNP
• Megan Renee Smith, PHARM.D.
• Miranda Jane Smith, NP-C
• Nathan Dwayne Smith, R.PH.
• Phillip Smith, PT
• Phillip Nelson Smith, PH.D.
• Rachel Severns Smith, PT, DPT

• Medical Physician Assistant in Mobile, AL
• Providers in Mobile, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.