Tommy Maurice Smith Jr., SSC

Primary specialty

DriverTaxonomy code 172A00000X

License

104555543 Issued in TN

Practice address

3212 Remington Trce Apt 203
Memphis, TN 38119-9194

Phone

(901) 474-9162

NPI assigned

Jul 24, 2023

Last updated

Jul 25, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reliacare Transportation Services LLC

  dba Reliacare Transportation Service

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
  • NPI 1861173775
  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1649950601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 REMINGTON TRCE APT 203",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381199194",
            "telephone_number": "901-474-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 REMINGTON TRCE APT 203",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381199194",
            "telephone_number": "901-474-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TOMMY",
        "middle_name": "MAURICE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "SSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TN",
            "license": "104555543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teena M Smith
• Teresa Smith, MS
• Timothy L Smith, CRNA
• Timothy Lee Smith, M.S., L.P.C.
• Toddrick Smith, DDS
• Tonja Medival Smith, DPH
• Tonya Lashay Smith, P.T.
• Tori Wolfe Smith, AU.D.
• Vincent D Smith, M.D.
• Webb A Smith, PHD

• Driver in Memphis, TN
• Providers in Memphis, TN by specialty
• Driver in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.