Individual provider Active NPI

Elizabeth Kathryn Smith, DO

  • Family Medicine Physician
  • Danville, VA
National Provider Identifier
1710544028
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102207021 Issued in VA
Practice address
142 S Main St
Danville, VA 24541-2922
Phone
(434) 799-2100
Fax
(434) 799-2133
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116033004 VA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0102207021 VA Primary

Addresses

Primary practice location

142 S Main St
Danville, VA 24541-2922

Mailing address

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, ME2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220519002050 VA Practitioner - Family Practice 5698108207 Reassigns benefits to 1 organization
I20250630001574 ME Practitioner - Emergency Medicine 5698108207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Maine LLCGroup PAC ID 1052657616, 56 clinicians

Practice addresses (Care Compare)

50 Union St
Ellsworth, ME 04605-1534
Phone (207) 664-5311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102207021VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Maine, LLC CurrentSince Aug 1, 2025 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1710544028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412922",
            "telephone_number": "434-799-2100",
            "fax_number": "434-799-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412922",
            "telephone_number": "434-799-2100",
            "fax_number": "434-799-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116033004",
            "primary": false
        },
        {
            "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": "VA",
            "license": "0102207021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.