NPIMap

Organization Active NPI

Great Plains of Smith Co., Inc.

Doing business as Smith County Family Practice

  • Family Medicine Physician
  • Smith Center, KS
National Provider Identifier
1720025620
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREAT PLAINS OF SMITH CO., INC.
Doing business as
Smith County Family Practice
Practice address
921 E. Highway 36
Smith Center, KS 66967-0349
Phone
(785) 282-6834
Fax
(785) 282-3793
NPI assigned
May 31, 2006
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Sarah Ragsdale
Title
Administrator
Phone
(785) 282-6845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

921 E. Highway 36
Smith Center, KS 66967-0349

Mailing address

PO Box 349
Smith Center, KS 66967-0349
Phone (785) 282-6834

Other identifiers 2

IdentifierTypeStateIssuer
100106990BMedicaidKS
110919OtherKSBCBS

Other names 1

  • Smith County Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928001102 KS Part B Supplier - Clinic/Group Practice 2860300530 Receives reassigned benefits from 26 practitioners
Practice locations: Smith Center, KS

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

614 S Main St
#349
Smith Center, KS 66967
Phone (785) 282-6859

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1720025620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "SMITH CENTER",
            "state": "KS",
            "postal_code": "669670349",
            "telephone_number": "785-282-6834",
            "fax_number": "785-282-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E. HIGHWAY 36",
            "city": "SMITH CENTER",
            "state": "KS",
            "postal_code": "669670349",
            "telephone_number": "785-282-6834",
            "fax_number": "785-282-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS OF SMITH CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-282-6845"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106990B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110919",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith County Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smith County Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smith Center, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.