Individual provider Active NPI

Timothy D Smith, M.D.

  • Family Medicine Physician
  • Huntsville, TN
National Provider Identifier
1720021660
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD28376 Issued in TN
Practice address
950 Baker Hwy
Ste. 4
Huntsville, TN 37756-4168
Phone
(423) 663-4200
Fax
(423) 663-4256
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD28376 TN Primary

Addresses

Primary practice location

950 Baker Hwy
Ste. 4
Huntsville, TN 37756-4168

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050520000140 TN Practitioner - General Practice 8426099680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
East Tennessee State University Quillen College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

950 Baker Hwy
Unit 4
Huntsville, TN 37756-4169
Phone (423) 663-4200

Hospital & facility affiliations

  • Quality Home Health Home health agency, Jamestown, TN, CCN 447406
  • Amedisys Home Health Home health agency, Livingston, TN, CCN 447260
  • Quality Hospice Hospice, Jamestown, TN, CCN 441599
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Big South Fork Medical Center Hospital, Oneida, TN, CCN 441323
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Lafollette Medical Center Hospital, La Follette, TN, CCN 440033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28376TNMDFamily Medicine Physician
G81142CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC Family Medicine CurrentSince Nov 15, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 15, 2023 Accepting new patients
Summit Medical Group, PLLC Family Medicine Past Accepting new patients

Locations

950 Baker Hwy
Unit 4
Huntsville, TN 37756
Phone (423) 663-4200

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

Interoperability endpoints

  • Direct secure messaging: timothy.smith.1@20785.direct.athenahealth.com

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 8

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1720021660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "423-663-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BAKER HWY",
            "address_2": "STE. 4",
            "city": "HUNTSVILLE",
            "state": "TN",
            "postal_code": "377564168",
            "telephone_number": "423-663-4200",
            "fax_number": "423-663-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD28376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TN

Sources for this page

Verify at the official NPI Registry.