Individual provider Active NPI

Donnie Ray Smith, MD

  • Gastroenterology Physician
  • Tuscaloosa, AL
National Provider Identifier
1811938889
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9978 Issued in AL
Practice address
1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Phone
(205) 759-2920
Fax
(205) 759-1344
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9978 AL Primary

Addresses

Primary practice location

1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136

Mailing address

1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Phone (205) 759-2920

Other identifiers 2

IdentifierTypeStateIssuer
000089047MedicaidAL
51089047OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120328000489 AL Practitioner - Gastroenterology 6507806841 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9978ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G I Associates of West Alabama PC CurrentSince Nov 3, 1994 Accepting new patients
G I Associates of West Alabama PC Gastroenterology Current Accepting new patients
North River Surgical Center, LLC Past Accepting new patients

Locations

301 Rice Mine Rd NE
Tuscaloosa, AL 35406
Phone (205) 750-0022

1774 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 759-2920

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1811938889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062136",
            "telephone_number": "205-759-2920",
            "fax_number": "205-759-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062136",
            "telephone_number": "205-759-2920",
            "fax_number": "205-759-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONNIE",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "9978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000089047",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51089047",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.