Individual provider Active NPI

Landon Craig Smith, M.D.

  • Obstetrics & Gynecology Physician
  • Ruston, LA
National Provider Identifier
1790783322
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
200383 Issued in LA
Practice address
411 E Vaughn Ave
Suite 103
Ruston, LA 71270-5972
Phone
(318) 255-9414
Fax
(318) 255-9434
NPI assigned
Jul 8, 2005
Last updated
Oct 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 200383 LA Primary

Addresses

Primary practice location

411 E Vaughn Ave
Suite 103
Ruston, LA 71270-5972

Mailing address

411 E Vaughn Ave
Suite 103
Ruston, LA 71270-5972
Phone (318) 255-9414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20081103000391 LA Practitioner - Obstetrics/Gynecology 5294894499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Ruston LLCGroup PAC ID 7315361425, 24 clinicians

Practice addresses (Care Compare)

411 E Vaughn Ave
Suite 104
Ruston, LA 71270-5975
Phone 31825424535975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as apm
Quality
60.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200383LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ruston LLC Current Accepting new patients
CLHG-Ruston LLC CurrentSince Aug 26, 2024 Accepting new patients
Green Clinic LLC CurrentSince Aug 6, 2017 Accepting new patients
Green Clinic LLC Obstetrics & Gynecology CurrentSince Aug 6, 2017 Accepting new patients
CLHG-Ruston LLC CurrentSince Aug 26, 2024 Accepting new patients
CLHG-Ruston LLC Obstetrics & Gynecology Past Accepting new patients
CLHG-Ruston LLC Past Accepting new patients

Locations

1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

411 E Vaughn Ave
Ste 103
Ruston, LA 71270
Phone (318) 255-1212

411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453

Interoperability endpoints

  • Direct secure messaging: landon.smith.1@26990.direct.athenahealth.com
  • Direct secure messaging: landon.smith@gcmc.directbygreenway.com
  • Direct secure messaging: nlmlsmith@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1790783322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE",
            "address_2": "SUITE 103",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705972",
            "telephone_number": "318-255-9414",
            "fax_number": "318-255-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE",
            "address_2": "SUITE 103",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705972",
            "telephone_number": "318-255-9414",
            "fax_number": "318-255-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LANDON",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "200383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.