Blake Smith

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

24523 Issued in TN

Practice address

80 Enoch Blvd
Savannah, TN 38372

Phone

(731) 926-9600

NPI assigned

Oct 19, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

78.55 of 100Reported as group

Quality

53

Promoting interoperability

99

Improvement activities

40

Cost

70.97

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• HMC Physician Services

  • Orthopaedic Surgery Physician
  • Savannah, TN
  • NPI 1316246705

  TN

  Medicare reassignment NPD
• Hardin County General Hospital

  • Durable Medical Equipment & Medical Supplies
  • Savannah, TN
  • NPI 1790834430
  NPD (past)
• Hardin County General Hospital

  • Rural Health Clinic/Center
  • Savannah, TN
  • NPI 1811710924
  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1760718282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 OAKLEY RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383723807",
            "telephone_number": "731-698-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ENOCH BLVD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "38372",
            "telephone_number": "731-926-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "RN0000161004",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "24523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Shelton, PHARMD
• Michaela Shoup, PHARMD
• Jenny Young Shutt, D.M.D.
• Martha Cheryl Slatton
• Sleep Analyst, Inc
• Candy Smith
• Jodie Lee Smith, COTA
• Lyndsay Michele Smith
• Michael Lewis Smith, MD
• Solutions of Savanannh, Inc.

• All providers in Savannah, TN
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.