Individual provider Active NPI

Candace Yvette Smith

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1790148385
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
82603 Issued in GA
Practice address
3635 Vista Ave
Slu Division of Emergency Medicine
Saint Louis, MO 63110-2539
Phone
(314) 268-7133
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 82603 GA Primary

Addresses

Primary practice location

3635 Vista Ave
Slu Division of Emergency Medicine
Saint Louis, MO 63110-2539

Mailing address

3635 Vista Ave
Slu Division of Emergency Medicine
Saint Louis, MO 63110-2539
Phone (314) 268-7133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190813001494 GA Practitioner - Emergency Medicine 6204120777 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Inphynet Primary Care Physicians Southeast PCGroup PAC ID 3779497045, 71 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Emergency Group of Columbus LLCGroup PAC ID 2668735515, 40 clinicians

Practice addresses (Care Compare)

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2283

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 596-4000

2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (510) 851-7493

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

Hospital & facility affiliations

  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
82603GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Sep 15, 2020 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Sep 15, 2020 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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 1

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1790148385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "address_2": "SLU DIVISION OF EMERGENCY MEDICINE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-268-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "address_2": "SLU DIVISION OF EMERGENCY MEDICINE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-268-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CANDACE",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "82603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.