Individual provider Active NPI

George William Smith, M.D.

  • Family Medicine Physician
  • El Dorado, AR
National Provider Identifier
1831179779
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2196 Issued in AR
Practice address
704 West Grove
Suite 2, George W. Smith MD
El Dorado, AR 71730
Phone
(870) 862-7661
Fax
(870) 863-6903
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R2196 AR Primary
Emergency Medicine Physician 207P00000X R2196 AR
Hospitalist Physician 208M00000X R2196 AR

Addresses

Primary practice location

704 West Grove
Suite 2, George W. Smith MD
El Dorado, AR 71730

Mailing address

704 West Grove
Suite 2, George W. Smith MD
El Dorado, AR 71730
Phone (870) 862-7661

Other identifiers 2

IdentifierTypeStateIssuer
106097001MedicaidAR
54941OtherARBLUE CROSS/BLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20080917000501 AR Practitioner - General PracticePractitioner - Family PracticePractitioner - Internal Medicine 2668549601 Reassigns benefits to 2 organizations
Practice locations: El Dorado, AR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Tulane University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

704 W Grove
Suite 2
El Dorado, AR 71730

704 W Grove St
Suite 2
El Dorado, AR 71730-4469
Phone (870) 862-7661

Hospital & facility affiliations

  • South Arkansas Home Health Home health agency, El Dorado, AR, CCN 047021
  • South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2196ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of El Dorado LLC Hospitalist CurrentSince Apr 29, 2022 Accepting new patients
Ess of El Dorado, LLC Emergency Medicine CurrentSince Apr 29, 2022 Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

Organizations & group practices 2

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1831179779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WEST GROVE",
            "address_2": "SUITE 2, GEORGE W. SMITH MD",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-862-7661",
            "fax_number": "870-863-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WEST GROVE",
            "address_2": "SUITE 2, GEORGE W. SMITH MD",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-862-7661",
            "fax_number": "870-863-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R2196",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "R2196",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "R2196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106097001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "54941",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.