Individual provider Active NPI

Reginald M Smith, MD

  • Pain Medicine Physician
  • Moody, AL
National Provider Identifier
1700877719
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
27262 Issued in AL
Practice address
2345 Moody Parkway
Ste 204
Moody, AL 35004-3039
Phone
(205) 640-0001
Fax
(205) 640-1557
NPI assigned
Oct 31, 2005
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.27262 AL
Internal Medicine Physician 207R00000X 27262 AL
Internal Medicine Physician 207R00000X 2002027127 MO
Internal Medicine Physician 207R00000X 0000032235 TN
Pain Medicine Physician 208VP0000X 27262 AL Primary

Addresses

Primary practice location

2345 Moody Parkway
Ste 204
Moody, AL 35004-3039

Mailing address

P.O. Box 175
Moody, AL 35004-0175
Phone (205) 640-0001

Other identifiers 2

IdentifierTypeStateIssuer
051538695OtherALBCBS
051538695MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061128000037 AL Practitioner - Pain ManagementPractitioner - Internal Medicine 3678515855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Internal Medicine
Education
University of South Alabama College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2301 Moody Pkwy
Suite 2
Moody, AL 35004-3909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.27262ALMDEmergency Medicine Physician
0000032235TNMDInternal Medicine Physician
27262ALMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Healthcare LLC Internal Medicine CurrentSince Dec 1, 2008 Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 1, 2017 Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 1, 2017 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine Past Accepting new patients
Hospital Care Associates, PC Internal Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

2508 Highway 280
Alexander City, AL 35010
Phone (205) 545-5090

508 E Three Notch St
Ste 100
Andalusia, AL 36420
Phone (334) 362-2015

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

1401 Highway 14
Millbrook, AL 36054
Phone (334) 310-6059

6280 Grelot Rd
Mobile, AL 36609
Phone (251) 288-5606

1195 S Alabama Ave
Monroeville, AL 36460
Phone (251) 743-2560

2211 Moody Pkwy
Moody, AL 35004
Phone (205) 352-2480

2301 Moody Pkwy
Ste 2
Moody, AL 35004
Phone (205) 577-0294

2345 Moody Pkwy
Ste 204
Moody, AL 35004
Phone (205) 640-0001

2022 2nd Ave E
Oneonta, AL 35121
Phone (205) 545-5090

300 Big Mountain Cir
Pelham, AL 35124
Phone (205) 644-8260

1475 AL Highway 14 E
Selma, AL 36703
Phone (334) 430-1799

40900 US Highway 280
Sylacauga, AL 35150
Phone (256) 369-0022

837 Battle St E
Talladega, AL 35160
Phone (256) 649-8134

3306 20th Ave
Valley, AL 36854
Phone (205) 545-5090

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1700877719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 175",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350040175",
            "telephone_number": "205-640-0001",
            "fax_number": "205-640-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MOODY PARKWAY",
            "address_2": "STE 204",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043039",
            "telephone_number": "205-640-0001",
            "fax_number": "205-640-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REGINALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.27262",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "27262",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2002027127",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "0000032235",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AL",
            "license": "27262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051538695",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051538695",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

Verify at the official NPI Registry.