Alan Alford Smith, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 44988 Issued in FL

Practice address

1769 66TH St. N
St Petersburg, FL 33710-5537

Phone

(727) 343-2741

Fax

(727) 343-2814

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

• Direct secure messaging: alan.smith.1@31967.direct.athenahealth.com

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.

• Alan Smith M.D. LLC

  • Primary Care Clinic/Center
  • St Petersburg, FL
  • NPI 1194086124
  Medicare reassignment NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1821130972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105537",
            "telephone_number": "727-343-2741",
            "fax_number": "727-343-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 66TH ST. N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105537",
            "telephone_number": "727-343-2741",
            "fax_number": "727-343-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALAN",
        "middle_name": "ALFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 44988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042850700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Mission Saint Petersburg PLLC
• Smiles on 16TH PLLC
• Alison Leana Smiley, CRNA
• Brenda Smith-Jones
• Aaron J Smith
• Allison Smith, BIRTH DOULA
• Alyssa Smith, MS
• Amanda Smith
• Amy Smith
• Angel M Smith, RBT

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.