Individual provider Active NPI

Carter T Smith, M.D.

  • Surgery Physician
  • Clifton, TX
National Provider Identifier
1700086097
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P9005 Issued in TX
Practice address
201 Posey Ave
Clifton, TX 76634-1200
Phone
(254) 675-8621
Fax
(254) 675-2254
NPI assigned
Jul 24, 2007
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X P9005 TX Primary

Addresses

Primary practice location

201 Posey Ave
Clifton, TX 76634-1200

Mailing address

PO Box 72
Clifton, TX 76634-0072
Phone (254) 675-8621

Other practice location 1

202 E Jefferson Ave
Whitney, TX 76692-2398
Phone (254) 694-2221

Other identifiers 2

IdentifierTypeStateIssuer
39461109MedicaidTX
339461109MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140904002163 TX Practitioner - General Surgery 4880827310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bosque County Hospital DistrictGroup PAC ID 4587997754, shared by 6 NPIs, 30 clinicians

Practice addresses (Care Compare)

201 Posey Ave
Clifton, TX 76634-1200
Phone (254) 675-8621

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bosque County Hospital District Surgery CurrentSince Jul 1, 2019 Accepting new patients
Bosque County Hospital District Current Accepting new patients
Bosque County Hospital District CurrentSince Jul 1, 2019 Accepting new patients

Locations

101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322

201 S Avenue T
Clifton, TX 76634
Phone (254) 675-4101

202 E Jefferson Ave
Whitney, TX 76692
Phone (254) 694-2221

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1700086097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766340072",
            "telephone_number": "254-675-8621",
            "fax_number": "254-675-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 POSEY AVE",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766341200",
            "telephone_number": "254-675-8621",
            "fax_number": "254-675-2254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Whitney",
            "state": "TX",
            "postal_code": "766922398",
            "country_code": "US",
            "telephone_number": "254-694-2221",
            "fax_number": "254-694-9978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARTER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P9005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39461109",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339461109",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, TX

Sources for this page

Verify at the official NPI Registry.