Individual provider Active NPI

Karin L Small, MD

  • Obstetrics & Gynecology Physician
  • Hendersonville, NC
National Provider Identifier
1659395267
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
201901085 Issued in NC
Practice address
512 6TH Ave W
Hendersonville, NC 28739-3558
Phone
(828) 696-0897
Fax
(828) 692-2146
NPI assigned
Jul 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD 40820 TN
Obstetrics & Gynecology Physician 207V00000X 201901085 NC Primary

Addresses

Primary practice location

512 6TH Ave W
Hendersonville, NC 28739-3558

Mailing address

512 6TH Ave W
Hendersonville, NC 28739-3558
Phone (828) 696-0897

Other identifiers 5

IdentifierTypeStateIssuer
1659395267OtherTNNPI
3821574MedicaidTN
4129698OtherTNBC/BS
100052006OtherTNPHP TNCARE
103I164065OtherTNMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksmall540639@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20220318002263 SC Practitioner - Obstetrics/Gynecology 7618974189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg South Carolina PCGroup PAC ID 7012182504, 26 clinicians

Practice addresses (Care Compare)

125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (800) 967-2289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201901085NCMDObstetrics & Gynecology Physician
MD 40820TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Women's Center of Greeneville, PC Obstetrics & Gynecology Current Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology CurrentSince Mar 1, 2022 Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Feb 18, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Obstetrics & Gynecology CurrentSince Feb 1, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Takoma Regional Hospital Dba Takoma Outpatient Behavioral Services Past Accepting new patients

Locations

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

1021 Coolidge St
Ste 2
Greeneville, TN 37743
Phone (423) 636-2300

Interoperability endpoints

  • Direct secure messaging: ksmall540639@direct.unc.nchie.net

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659395267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 6TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393558",
            "telephone_number": "828-696-0897",
            "fax_number": "828-692-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 6TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393558",
            "telephone_number": "828-696-0897",
            "fax_number": "828-692-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KARIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD 40820",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "201901085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659395267",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3821574",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4129698",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TNCARE",
            "identifier": "100052006",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103I164065",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmall540639@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "512 6th Ave W",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287393558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.