Individual provider Active NPI

David D Smyers, MD

  • General Practice Physician
  • Nacogdoches, TX
National Provider Identifier
1801850987
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G3805 Issued in TX
Practice address
4909 North St
Suite 202
Nacogdoches, TX 75965-1800
Phone
(936) 560-9898
NPI assigned
Apr 14, 2006
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G3805 TX Primary

Addresses

Primary practice location

4909 North St
Suite 202
Nacogdoches, TX 75965-1800

Mailing address

PO Box 153120
Lufkin, TX 75915-3120

Other identifiers 2

IdentifierTypeStateIssuer
190097902MedicaidTX
8AR900OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20071231000402 TX Practitioner - Emergency MedicinePractitioner - Family Practice 5496744617 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Health Solutions, PLLC CurrentSince Aug 12, 2012 Accepting new patients
Urgent Health Solutions Nacogdoches PastSince May 24, 2020 Accepting new patients
Anderson Emergency Physicians PA Past Accepting new patients

Locations

2132 S 1st St
Lufkin, TX 75901
Phone (936) 634-3627

4909 North St
Ste 202
Nacogdoches, TX 75965
Phone (936) 560-9898

Interoperability endpoints

  • Direct secure messaging: david.smyers.1@29637.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1801850987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153120",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759153120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 NORTH ST",
            "address_2": "SUITE 202",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651800",
            "telephone_number": "936-560-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYERS",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G3805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190097902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AR900",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.