NPIMap

Individual provider Active NPI

Kristi Martin Smith, MD

  • Family Medicine Physician
  • Burlington, NC
National Provider Identifier
1750391314
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200500703 Issued in NC
Practice address
1041 Kirkpatrick Road
Suite 200
Burlington, NC 27215-8066
Phone
(336) 584-3100
Fax
(336) 584-0696
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200500703 NC Primary

Addresses

Primary practice location

1041 Kirkpatrick Road
Suite 200
Burlington, NC 27215-8066

Mailing address

267 S Churton St
Ste 100
Hillsborough, NC 27278-2696
Phone (336) 584-3100

Other identifiers 6

IdentifierTypeStateIssuer
13980OtherNCBLUE CROSS BLUE SHIELD
7165662OtherNCAETNA
0105788OtherNCUNITED HEALTHCARE
5182238OtherNCCIGNA
P00235756OtherNCRAILROAD MEDICARE
E2952OtherNCMEDCOST, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000926 NC Practitioner - Family Practice 4880639483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

267 S Churton St
Suite 100
Hillsborough, NC 27278-2506
Phone (919) 732-8131

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200500703NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Moses Cone Physician Services, Inc Family Medicine CurrentSince Sep 8, 2013 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Sep 8, 2013 Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
BFP Medical Group PA Family Medicine Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1041 Kirkpatrick Rd
Ste 200
Burlington, NC 27215
Phone (336) 584-3100

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1868

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

102 Pomona Dr
Greensboro, NC 27407
Phone (336) 299-0000

267 S Churton St
Ste 100
Hillsborough, NC 27278
Phone (919) 732-8131

267 S Churton St
Hillsborough, NC 27278
Phone (919) 643-4524

10211 Alm St
Ste 1100
Raleigh, NC 27617
Phone (919) 385-1160

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480

Interoperability endpoints

  • Direct secure messaging: ksmith429367@direct.medicine.duke.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1750391314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 S CHURTON ST",
            "address_2": "STE 100",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782696",
            "telephone_number": "336-584-3100",
            "fax_number": "336-584-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK ROAD",
            "address_2": "SUITE 200",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158066",
            "telephone_number": "336-584-3100",
            "fax_number": "336-584-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTI",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200500703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "13980",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7165662",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0105788",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5182238",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00235756",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST, LLC",
            "identifier": "E2952",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.