Individual provider Active NPI

Rachael Smith, APRN

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1679101232
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11006801 Issued in FL
Practice address
100 Doctors Dr Ste C
Panama City, FL 32405-7609
Phone
(850) 866-1681
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11006801 FL Primary

Addresses

Primary practice location

100 Doctors Dr Ste C
Panama City, FL 32405-7609

Mailing address

PO Box 1128
Panama City, FL 32402-1128
Phone (850) 866-1681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623001892 FL Practitioner - Nurse Practitioner 7416379326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Doctors Dr
Suite C
Panama City, FL 32405-7609

600 Grand Panama Blvd
Suite 302
Panama City Beach, FL 32407-3461
Phone (850) 588-7595

Hospital & facility affiliations

  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11006801FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R D Smith, Incorporated Family Medicine CurrentSince May 1, 2020 Accepting new patients
Journeypure Panhandle LLC Past Accepting new patients

Locations

100 Doctors Dr
Ste C
Panama City, FL 32405
Phone (850) 814-8400

11525 Hutchison Blvd
Ste 100
Panama City Beach, FL 32407

600 Grand Panama Blvd
Ste 302
Panama City Beach, FL 32407
Phone (850) 588-7595

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1679101232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324021128",
            "telephone_number": "850-866-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057609",
            "telephone_number": "850-866-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHAEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11006801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.