Active NPI
Paul E Smith III, DO
- Family Medicine Physician
- Jackson, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03402
- Practice address
- 1550 Highway 15 S Ste 200
Jackson, KY 41339-0714 - Phone
- (606) 666-8404
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 03402 | KY | |
| Family Medicine Physician | 207Q00000X | 03402 | KY | Primary |
Addresses
Primary practice location
1550 Highway 15 S Ste 200
Jackson, KY 41339-0714
Mailing address
6 Fontaine Blvd
Winchester, KY 40391-9216
Phone (231) 742-1213
Other practice location 1
624 Chamberlin Ave
Frankfort, KY 40601-4220
Phone (502) 699-2267
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS012921 | Other | MI | BLUE CROSS |
| 7100177400 | Medicaid | KY | |
| 114947926 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- West Virginia School of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2108 Nicholasville Rd
Lexington, KY 40503-2502
3900 Kresge Way
Louisville, KY 40207-4681
610 E Brannon Rd
Nicholasville, KY 40356-6046
644 University Shopping Ctr
Richmond, KY 40475-2614
Phone (859) 624-5684
648 University Shopping Ctr
Richmond, KY 40475-2614
Phone (859) 623-0535
96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03402 | KY | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Kentucky Mso, LLC | Family Medicine | Current | Accepting new patients |
| Kalamazoo Emergency Associates, PLC | Past | Accepting new patients | |
| Lakeshore Emergency Solutions, PLLC | Past | Accepting new patients | |
| Shelby Emergency Services, LLC | Past | Accepting new patients |
Locations
96 Future Dr
Corbin, KY 40701
1502 Oxford Dr
Ste 100
Georgetown, KY 40324
Phone (502) 570-3785
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
2108 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-5200
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950
Organizations & group practices 8
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.
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba Gastroenterology and Hepatology of the Bluegrass
- Gastroenterology Physician
- Georgetown, KY
- NPI 1164867883
-
- Rural Health Clinic/Center
- Somerset, KY
- NPI 1740885318
-
dba Centerpoint Family Medicine - Lawrenceburg
- Rural Health Clinic/Center
- Lawrenceburg, KY
- NPI 1922860758
-
- Emergency Medicine Physician
- Kalamazoo, MI
- NPI 1942251244
-
- Emergency Medicine Physician
- Shelby, MI
- NPI 1639266794
-
- Nurse Practitioner
- Shelby, MI
- NPI 1508824277
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Lexington
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649226895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 FONTAINE BLVD",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403919216",
"telephone_number": "231-742-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 HIGHWAY 15 S STE 200",
"city": "JACKSON",
"state": "KY",
"postal_code": "413390714",
"telephone_number": "606-666-8404"
}
],
"practiceLocations": [
{
"address_1": "624 Chamberlin Ave",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "KY",
"postal_code": "406014220",
"country_code": "US",
"telephone_number": "502-699-2267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "PAUL",
"middle_name": "E",
"name_suffix": "III",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "KY",
"license": "03402",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "03402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PS012921",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100177400",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114947926",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.