Judson Wayne Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00018308 Issued in AL

Practice address

801 20TH Ave E
Jasper, AL 35501-4070

Phone

(205) 384-0311

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

University of Alabama School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Sunshine ClinicGroup PAC ID 5496140220, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsmith2202@baptisthealthaldirect.org

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.

• Baptist Health Centers, LLC

  dba Baptist Health Medical Group

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  Medicare reassignment Care Compare group NPD
• Sunshine Clinic

  • Urgent Care Clinic/Center
  • Jasper, AL
  • NPI 1952067175
  Medicare reassignment Care Compare group NPD
• Baptist Health Centers LLC

  dba Baptist Health Medical Group

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD
• Walker Recovery Center

  • Methadone Clinic
  • Jasper, AL
  • NPI 1508386541
  NPD
• BBH WBMC, LLC

  dba Baptist Health Walker Hospital

  • General Acute Care Hospital
  • Jasper, AL
  • NPI 1932553385
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1720037450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 20TH AVE E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014070",
            "telephone_number": "205-384-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 20TH AVE E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014070",
            "telephone_number": "205-384-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUDSON",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00018308",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "00018308",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "00018308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000030949",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009909535",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kindra Lea Sloan
• Smith Lake Family Care LLC
• Smith Lake Urgent Care, LLC
• Smith Lake Urgent Care, LLC (Smith Lake Family Medicine)
• Jana Smith
• Lisa G Smith
• Pamela D Smith, ED.D.
• Sheryl Lynn Smith, CRNA
• Victoria Eileen Smith, MD
• Kaydian Lee Smoot, LCSW

• Family Medicine Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.

Verify at the official NPI Registry.