Individual provider Active NPI

Lenwood Perkins Smith Jr., M.D.

  • General Practice Physician
  • Durham, NC
National Provider Identifier
1750348777
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2013-02164 Issued in NC
Practice address
1417 W Pettigrew St
Durham, NC 27705-4898
Phone
(919) 286-7705
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 15420 SC
Neurological Surgery Physician 207T00000X 2013-02164 NC
Surgery Physician 208600000X 2013-02164 NC
General Practice Physician 208D00000X 2013-02164 NC Primary

Addresses

Primary practice location

1417 W Pettigrew St
Durham, NC 27705-4898

Mailing address

210 Green Rd
Franklin, TN 37069-7150
Phone (615) 636-9050

Other practice location 1

3830 Blue Ridge Rd
Raleigh, NC 27612-4319
Phone (919) 781-4900

Other practice location 2

2325 Stantonsburg Rd
ECU Neurological and Spine Center
Greenville, NC 27834-7534
Phone (252) 744-9600

Other practice location 3

3830 Blue Ridge Rd
Raleigh, NC 27612-4319
Phone (919) 781-4900

Other identifiers 3

IdentifierTypeStateIssuer
18426OtherNCBCBS NC
1750348777MedicaidNC
154200MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsmith57440@direct.vidanthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140106000925 NC Practitioner - Internal MedicinePractitioner - General Practice 4789605189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wake Forest University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

2325 Stantonsburg Rd
Greenville, NC 27834-7534
Phone (919) 731-4048

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

800 WH Smith Blvd
Greenville, NC 27834-3763

850 WH Smith Blvd
Vidant Cardiology Greenville
Greenville, NC 27834-3763
Phone (252) 758-3211

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Oct 1, 2014 Accepting new patients
East Carolina University Neurological Surgery CurrentSince Nov 18, 2013 Accepting new patients
East Carolina University Current Accepting new patients
LP Smith MD PLLC General Practice CurrentSince Jul 22, 2023 Accepting new patients
Prisma Health-Midlands Past Accepting new patients
University Specialty Clinics Neurosurgery Neurological Surgery Past Accepting new patients

Locations

1417 W Pettigrew St
Durham, NC 27705
Phone (919) 286-7705

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2325 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 752-5156

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3830 Blue Ridge Rd
Raleigh, NC 27612
Phone (919) 781-4900

Interoperability endpoints

  • Direct secure messaging: lsmith57440@direct.vidanthealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hillcrest Convalescent Home, IncDurham, NC, CCN 345001 Skilled nursing facility 5% Or Greater Direct Ownership Interest (25%)
Corporate Officer
Direct Ownership Interest (25%)
Oct 1, 2017
Dec 11, 2015
Oct 1, 2017
Hillcrest Raleigh at Crabtree ValleyRaleigh, NC, CCN 345555 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (25%)
Indirect Ownership Interest (25%)
Feb 10, 2015
Oct 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1750348777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GREEN RD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370697150",
            "telephone_number": "615-636-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W PETTIGREW ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054898",
            "telephone_number": "919-286-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3830 Blue Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276124319",
            "country_code": "US",
            "telephone_number": "919-781-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2325 Stantonsburg Rd",
            "address_2": "ECU Neurological and Spine Center",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278347534",
            "country_code": "US",
            "telephone_number": "252-744-9600",
            "fax_number": "252-744-9593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3830 Blue Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276124319",
            "country_code": "US",
            "telephone_number": "919-781-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LENWOOD",
        "middle_name": "PERKINS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "15420",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "2013-02164",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2013-02164",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2013-02164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "18426",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750348777",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154200",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsmith57440@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.