Individual provider Active NPI

Jeffery Dyer-Smith, MD

  • Anesthesiology Physician
  • Hoover, AL
National Provider Identifier
1780806505
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27557 Issued in AL
Practice address
5336 Stadium Trace Pkwy
Suite 104
Hoover, AL 35244-4580
Phone
(205) 795-3411
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 27557 AL Primary

Addresses

Primary practice location

5336 Stadium Trace Pkwy
Suite 104
Hoover, AL 35244-4580

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Other identifiers 2

IdentifierTypeStateIssuer
147595MedicaidAL
147568MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090713000485 AL Practitioner - Anesthesiology 4981756509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Perioperative Services P CGroup PAC ID 9234041815, 28 clinicians
University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

150 Gilbreath Dr
Oneonta, AL 35121-2827
Phone (205) 338-2939

2000 6TH Ave S
Birmingham, AL 35233-2110
Phone (205) 937-9999

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone (205) 481-8543

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone (205) 338-2939

975 9TH Ave SW
Bessemer, AL 35022-4527
Phone (205) 481-7000

Hospital & facility affiliations

  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033
  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130
  • St Vincent'S Chilton Hospital, Clanton, AL, CCN 010173
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056
  • St Vincents Blount Hospital, Oneonta, AL, CCN 011305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27557ALMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Perioperative Services P C Anesthesiology CurrentSince Apr 29, 2013 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 1, 2016 Accepting new patients
Sheridan Anesthesia Services of Alabama, Inc. Anesthesiology Past Accepting new patients
Coastal Anesthesia, P.C. Anesthesiology Past Accepting new patients
Med-West Anesthesia PC Anesthesiology Past Accepting new patients

Locations

975 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-8700

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1600 Carraway Blvd
Birmingham, AL 35234
Phone (205) 502-6000

10 Old Montgomery Hwy
Ste 200
Homewood, AL 35209
Phone (205) 271-6504

5336 Stadium Trace Pkwy
Ste 104
Hoover, AL 35244
Phone (205) 795-3411

4511 Southlake Pkwy
Hoover, AL 35244
Phone (205) 985-4398

7191 Cahaba Valley Rd
Ste 102
Hoover, AL 35242
Phone (205) 408-6600

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

2501 Meadowview Ln
Ste 101
Pelham, AL 35124
Phone (205) 685-5357

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

1400 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 345-5500

Interoperability endpoints

  • Direct secure messaging: jdyersmith@direct.uabmedicine.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1780806505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701",
            "fax_number": "205-297-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 STADIUM TRACE PKWY",
            "address_2": "SUITE 104",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444580",
            "telephone_number": "205-795-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER-SMITH",
        "first_name": "JEFFERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "27557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147595",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147568",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.