Individual provider Active NPI

Ginger L Smith, DO

  • Family Medicine Physician
  • Carthage, TN
National Provider Identifier
1790753259
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
742 Issued in TN
Practice address
21 Dixon Springs Hwy
Suite D
Carthage, TN 37030-4011
Phone
(615) 735-3555
Fax
(615) 735-3588
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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 742 TN Primary

Addresses

Primary practice location

21 Dixon Springs Hwy
Suite D
Carthage, TN 37030-4011

Mailing address

21 Dixon Springs Hwy
Suite D
Carthage, TN 37030-4011
Phone (615) 735-3555

Other identifiers 1

IdentifierTypeStateIssuer
3302044MedicaidTN

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060324000434 TN Practitioner - Family Practice 5092723502 Practice locations: Carthage, TN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21 Dixon Springs Hwy D
Carthage, TN 37030-4012
Phone (615) 735-3555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: ginger.smith.1@2520.direct.athenahealth.com

Hospital & facility affiliations 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1790753259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DIXON SPRINGS HWY",
            "address_2": "SUITE D",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370304011",
            "telephone_number": "615-735-3555",
            "fax_number": "615-735-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DIXON SPRINGS HWY",
            "address_2": "SUITE D",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370304011",
            "telephone_number": "615-735-3555",
            "fax_number": "615-735-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GINGER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3302044",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TN

Sources for this page

Verify at the official NPI Registry.