Peter K. Smith, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD020304 Issued in TN

Practice address

107 Imperial Blvd
Suite 3
Hendersonville, TN 37075-3479

Phone

(615) 824-9653

Fax

(615) 824-9663

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

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.

• The Surgical Clinic PLLC

  • Surgery Physician
  • Nashville, TN
  • NPI 1417983099
  Medicare reassignment NPD
• Davis, Smith and Boskind

  • Surgery Physician
  • Hendersonville, TN
  • NPI 1659545739
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821053703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD",
            "address_2": "SUITE 3",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753479",
            "telephone_number": "615-824-9653",
            "fax_number": "615-824-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD",
            "address_2": "SUITE 3",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753479",
            "telephone_number": "615-824-9653",
            "fax_number": "615-824-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PETER",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD020304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Edward Smith, MD
• Kailyn Rae Smith
• Megan Smith, BEHAVIOR TECHNICIAN
• Melinda Smith
• Pamela Ann Smith
• Rylee Brooke Smith, DDS
• Summer Claire Smith, CF-SLP
• William Barney Smith, M.D.
• Kristen Smyth, RN
• Jeffrey Glenn Snead Sr., D.C.

• Surgery Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.