Individual provider Active NPI

Justin Taylor Smith, MD

  • Orthopaedic Surgery Physician
  • Fort Mill, SC
National Provider Identifier
1669922969
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2022-01292 Issued in NC
Practice address
441 Mercantile PL Ste 101
Fort Mill, SC 29715-2005
Phone
(803) 220-4207
NPI assigned
Oct 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2022-01292 NC Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 85638 SC

Addresses

Primary practice location

441 Mercantile PL Ste 101
Fort Mill, SC 29715-2005

Mailing address

441 Mercantile PL Ste 101
Fort Mill, SC 29715-2005
Phone (803) 220-4207

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190619003771 MI Practitioner - Orthopedic Surgery 4082948385 Reassigns benefits to 1 organization
I20211122000448 SC Practitioner - Orthopedic Surgery 4082948385 Reassigns benefits to 1 organization
I20220901002984 NC Practitioner - Orthopedic Surgery 4082948385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Oakland Univ, William Beaumont School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Memorial Hospital of Sweetwater CountyGroup PAC ID 0244124550, 70 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, 220 clinicians

Practice addresses (Care Compare)

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000

10660 Park Rd
Suite 3100
Charlotte, NC 28210-8420
Phone (704) 667-8750

1200 College Dr
Rock Springs, WY 82901-5868
Phone (307) 362-3711

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

1690 Hwy 160 W
Fort Mill, SC 29708-8024
Phone (803) 548-2424

2724 W Palmetto St
Florence, SC 29501-4909
Phone (843) 292-1900

Hospital & facility affiliations

  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-01292NCMDOrthopaedic Surgery Physician
85638SCMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Sep 6, 2022 Accepting new patients
Carolinas Physicians Network Inc Orthopaedic Surgery Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 6, 2022 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Jun 1, 2019 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 6, 2022 Accepting new patients
Carolinas Physicians Network Inc Orthopaedic Surgery Current Accepting new patients
Journey Orthopaedic Institute LLC Orthopaedic Surgery PastSince Dec 28, 2025 Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3535 W 13 Mile Rd
Ste 744
Royal Oak, MI 48073
Phone (248) 551-1852

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

1690 Highway 160 W
Fort Mill, SC 29708
Phone (803) 547-7541

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

134 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3130

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1669922969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MERCANTILE PL STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152005",
            "telephone_number": "803-220-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 MERCANTILE PL STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152005",
            "telephone_number": "803-220-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUSTIN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2022-01292",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "SC",
            "license": "85638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.