Individual provider Active NPI

Caroline C. Smythe, M.D.

  • Psychiatry Physician
  • Mount Pleasant, SC
National Provider Identifier
1730381070
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD15152 Issued in SC
Practice address
212 Scott St
Mt Pleasant, SC 29464-4345
Phone
(843) 216-2119
Fax
(843) 881-0958
NPI assigned
May 31, 2007
Last updated
Jan 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD22677 OR
Psychiatry Physician 2084P0800X MD15152 SC Primary

Addresses

Primary practice location

212 Scott St
Mt Pleasant, SC 29464-4345

Mailing address

2016 Wappoo Dr
Charleston, SC 29412-2051
Phone (843) 225-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD22677ORMDPsychiatry Physician
MD15152SCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1730381070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 WAPPOO DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122051",
            "telephone_number": "843-225-0180",
            "fax_number": "843-881-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SCOTT ST",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644345",
            "telephone_number": "843-216-2119",
            "fax_number": "843-881-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTHE",
        "first_name": "CAROLINE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD22677",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "MD15152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.