Active NPI
Cory Daniel Smith, M.D.
- Orthopaedic Surgery Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- LL39868
- Practice address
- 701 Grove Rd
2ND Floor Support Tower
Greenville, SC 29605-4210 - Phone
- (864) 455-7878
- NPI assigned
- Jun 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | LL39868 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd
2ND Floor Support Tower
Greenville, SC 29605-4210
Mailing address
701 Grove Rd
2ND Floor Support Tower
Greenville, SC 29605-4210
Phone (864) 455-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Alabama School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Ross Clark Cir
Dothan, AL 36301-4754
Phone (334) 793-2663
Hospital & facility affiliations
- Centerwell Home Health
- Southeast Health Medical Center
- Flowers Hospital
- Dale Medical Center
- Jackson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 21 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.B.J.S. PC | Orthopaedic Surgery | Current | Accepting new patients |
| SBJS PC | Orthopaedic Surgery | Current | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| S.B.J.S. PC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
345 Healthwest Dr
Dothan, AL 36303
Phone (334) 793-2663
1500 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2663
2126 W Roy Parker Rd
Ste 201
Ozark, AL 36360
Phone (334) 445-2663
Interoperability endpoints
- cory.smith.1@15455.direct.athenahealth.com
Organizations & group practices 4
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
- Dothan, AL
- NPI 1134106065
-
- Durable Medical Equipment & Medical Supplies
- Dothan, AL
- NPI 1972824993
Orthopaedic Surgery
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Durable Medical Equipment & Medical Supplies
- Dothan, AL
- NPI 1629252499
Orthopaedic Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dothan, AL
- NPI 1467489385
-
- General Acute Care Hospital
- Ozark, AL
- NPI 1942380357
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1700236643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 GROVE RD",
"address_2": "2ND FLOOR SUPPORT TOWER",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-455-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD",
"address_2": "2ND FLOOR SUPPORT TOWER",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-455-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CORY",
"middle_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "LL39868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.