Individual provider Active NPI

Jeremy Lee Smith, APRN, NP-C

  • Family Nurse Practitioner
  • South Charleston, WV
National Provider Identifier
1801270749
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN81644-NP-C Issued in WV
Practice address
4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone
(304) 400-4545
NPI assigned
Jul 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 81644 WV
Family Nurse Practitioner 363LF0000X APRN81644-NP-C WV Primary

Addresses

Primary practice location

4619 Kanawha Ave SW
South Charleston, WV 25309-1319

Mailing address

4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone (304) 400-4545

Other practice location 1

1305 Elm Street
Huntington, WV 25701-3861
Phone (304) 399-2881

Other practice location 2

1249 15th Street
Suite 3000
Huntington, WV 25701-3663
Phone (304) 691-1000

Other practice location 3

300 Corporate Center Drive
Scott Depot, WV 25560-9026
Phone (304) 691-6800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeremy.smith@marshall.direct.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20180619000009 WV Practitioner - Nurse Practitioner 6901101567 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
JC Edwards School of Medicine, Marshall University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1249 15TH St
Suite 3000
Huntington, WV 25701-3663
Phone (304) 691-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
81644WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 1, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jan 1, 2022 Accepting new patients
THS Physician Partners Inc Family CurrentSince Jun 1, 2023 Accepting new patients
University Physicians & Surgeons, Inc Family CurrentSince Jul 1, 2025 Accepting new patients
Pulmonary Associates of Char LLC CurrentSince May 1, 2018 Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1305 Elm St E
Huntington, WV 25701
Phone (304) 399-2881

1600 Medical Center Dr
Ste 2500
Huntington, WV 25701
Phone (304) 691-1200

1249 15th St
Ste 3000
Huntington, WV 25701
Phone (304) 691-1095

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4619 Kanawha Ave SW
South Charleston, WV 25309
Phone (304) 400-4545

Interoperability endpoints

  • Direct secure messaging: jsmith436020@direct.wvuhsdirect.com

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 2

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1801270749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 KANAWHA AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091319",
            "telephone_number": "304-400-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 KANAWHA AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091319",
            "telephone_number": "304-400-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Elm Street",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013861",
            "country_code": "US",
            "telephone_number": "304-399-2881",
            "fax_number": "304-399-2889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1249 15th Street",
            "address_2": "Suite 3000",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013663",
            "country_code": "US",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Corporate Center Drive",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "255609026",
            "country_code": "US",
            "telephone_number": "304-691-6800",
            "fax_number": "304-691-6751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEREMY",
        "middle_name": "LEE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "81644",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN81644-NP-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremy.smith@marshall.direct.com",
            "affiliation": "N",
            "address_1": "1249 15th Street",
            "address_2": "Suite 3000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.