NPIMap

Individual provider Active NPI

Smitty Smith

  • Family Medicine Physician
  • Covington, LA
National Provider Identifier
1700185519
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD205710 Issued in LA
Practice address
874 Woodsprings CT
Covington, LA 70433-7489
Phone
(985) 732-0058
NPI assigned
Mar 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD205710 LA Primary

Addresses

Primary practice location

874 Woodsprings CT
Covington, LA 70433-7489

Mailing address

874 Woodsprings CT
Covington, LA 70433-7489

Other identifiers 1

IdentifierTypeStateIssuer
2151428MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130427000037 LA Practitioner - Family Practice 2264678853 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Physicians LLCGroup PAC ID 8729081278, 5 clinicians

Practice addresses (Care Compare)

16052 Doctors Blvd
Hammond, LA 70403-1478
Phone 98534696063333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD205710LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess Hospitalist LLC CurrentSince Mar 2, 2014 Accepting new patients
Family Medicine Physicians, L.L.C. Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Jan 1, 2013 Accepting new patients
Neuroscience & Pain Institute LLC CurrentSince Sep 11, 2018 Accepting new patients
Riverside Emergency Physician Partners LLC CurrentSince Jul 1, 2018 Accepting new patients
C & M Medical Services, Inc. CurrentSince Nov 30, 2015 Accepting new patients
Hospice Foundation of Greater Baton Rouge Family Medicine Past Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients

Locations

301 Walnut St
Amite, LA 70422
Phone (985) 748-7141

76 Starbrush Cir
Covington, LA 70433
Phone (985) 400-5778

16052 Doctors Blvd
Hammond, LA 70403
Phone (985) 345-9606

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

254 Highway 3048
#C
Rayville, LA 71269
Phone (318) 728-4181

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

985 Robert Blvd
Slidell, LA 70458
Phone (985) 649-4911

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

Interoperability endpoints

  • Direct secure messaging: smitty.smith.1@27099.direct.athenahealth.com

Organizations & group practices 8

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 9

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1700185519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 WOODSPRINGS CT",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 WOODSPRINGS CT",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337489",
            "telephone_number": "985-732-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SMITTY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD205710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2151428",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.