Active NPI
Gregory C Smith, MD
- Diagnostic Radiology Physician
- Hamlet, NC
National Provider Identifier
1740247972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 38691
- Practice address
- 1000 W Hamlet Ave
Radiology Dept
Hamlet, NC 28345-4522 - Phone
- (843) 669-5162
- Fax
- (843) 667-4573
- NPI assigned
- May 1, 2006
- Last updated
- May 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 38691 | NC | Primary |
Addresses
Primary practice location
1000 W Hamlet Ave
Radiology Dept
Hamlet, NC 28345-4522
Mailing address
PO Box 100523
Florence, SC 29501-0523
Phone (843) 669-5162
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203824712 | Other | NC | STANDARD TAX ID |
| 5902965 | Medicaid | NC | |
| G49673 | Medicaid | SC | |
| 1230K | Other | NC | BCBS OF NC |
| 611473300 | Other | NC | US DEPT OF LABOR |
| 944274 | Other | NC | DESERET MUTUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Radiology Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Hamlet, NC
- NPI 1699732396
-
- Radiologic Technologist
- Rocky Mount, NC
- NPI 1326251661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1740247972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100523",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295010523",
"telephone_number": "843-669-5162",
"fax_number": "843-667-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W HAMLET AVE",
"address_2": "RADIOLOGY DEPT",
"city": "HAMLET",
"state": "NC",
"postal_code": "283454522",
"telephone_number": "843-669-5162",
"fax_number": "843-667-4573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GREGORY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "38691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STANDARD TAX ID",
"identifier": "203824712",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902965",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G49673",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "1230K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "611473300",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "944274",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamlet, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.