Individual provider Active NPI

Elizabeth Clentera Smith, D.O., MPH

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1689899684
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
67166 Issued in GA
Practice address
200 E Chestnut St
Louisville, KY 40202-1831
Phone
(502) 629-8000
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C1364 KY
Family Medicine Physician 207Q00000X 001967 GA
Emergency Medicine Physician 207P00000X 67166 GA Primary
Emergency Medicine Physician 207P00000X 1382 SC
Emergency Medicine Physician 207P00000X 5114 TN
Emergency Medicine Physician 207P00000X 001967 MI

Addresses

Primary practice location

200 E Chestnut St
Louisville, KY 40202-1831

Mailing address

2715 Braffington CT
Atlanta, GA 30350-5611
Phone (678) 333-8901

Other practice location 1

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-5911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, KY3 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
I20120702000086 GA Practitioner - Emergency Medicine 1658564935 Reassigns benefits to 9 organizations
I20230126002458 TN Practitioner - Emergency Medicine 1658564935 Reassigns benefits to 1 organization
I20230308000586 KY Practitioner - Emergency Medicine 1658564935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coweta Emergency Group LLCGroup PAC ID 5395876452, 28 clinicians

Practice addresses (Care Compare)

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 253-1912

Hospital & facility affiliations

  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102

Merit-based Incentive Payment System (MIPS)

Final score
93.68 of 100Reported as group
Improvement activities
40
Cost
74.85

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67166GAMDEmergency Medicine Physician
001967MIMDEmergency Medicine Physician
001967GAMDFamily Medicine Physician
5114TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Oct 24, 2024 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jan 20, 2023 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Dec 1, 2024 Accepting new patients
Emerginet Henry, LLC CurrentSince Oct 25, 2014 Accepting new patients
Coweta Emergency Group LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Dec 15, 2018 Accepting new patients
Community Medical Associates, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Phoebe Putney Memorial Hospital Inc Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 10, 2023 Accepting new patients
Fort Oglethorpe Emergency Physicians Group LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Emerginet SRMC, LLC CurrentSince Oct 25, 2014 Accepting new patients
The Emory Clinic Inc CurrentSince May 1, 2015 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Oct 24, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Athens-Clarke Emergency Specialists Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

235 Peachtree St NE
Ste 2100
Atlanta, GA 30303
Phone (770) 994-4747

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 20

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 20

Hospital & facility affiliations 4

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1689899684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 BRAFFINGTON CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303505611",
            "telephone_number": "678-333-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-629-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039811",
            "country_code": "US",
            "telephone_number": "270-417-5911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "CLENTERA",
        "credential": "D.O., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "C1364",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "001967",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "67166",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "1382",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "5114",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "001967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.