Active NPI
Justin Taylor Smith, MD
- Orthopaedic Surgery Physician
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2022-01292
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncMemorial Hospital of Sweetwater CountyCora South Carolina LLC
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
- Memorial Hospital Sweetwater County
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-01292 | NC | MD | Orthopaedic Surgery Physician |
| 85638 | SC | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Journey Orthopaedic Institute LLC | Orthopaedic Surgery | Past | 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.
-
- Orthopaedic Surgery Physician
- Lancaster, SC
- NPI 1962858662
Orthopaedic Surgery, SC
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
NC, Orthopaedic Surgery
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Fort Mill, SC
- NPI 1679412993
Orthopaedic Surgery
-
- Rehabilitation Clinic/Center
- Murrells Inlet, SC
- NPI 1093123531
-
- Physical Therapy Clinic/Center
- Bluffton, SC
- NPI 1164923355
-
- Rehabilitation Clinic/Center
- Florence, SC
- NPI 1215492129
-
- Rehabilitation Clinic/Center
- Greenwood, SC
- NPI 1659871986
-
- Rehabilitation Clinic/Center
- Rock Hill, SC
- NPI 1831828029
-
- Rehabilitation Clinic/Center
- North Charleston, SC
- NPI 1881177855
-
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
-
- Cardiovascular Disease Physician
- Rock Hill, SC
- NPI 1609191121
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
Hospital
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.