Individual provider Active NPI

Cameron Smith, D.O.

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1831515287
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3640 Issued in TN
Practice address
1161 21St Ave S, MCN Suite CCC-1118
Nashville, TN 37232-2675
Phone
(615) 322-3000
NPI assigned
Mar 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3640 TN Primary
Diagnostic Radiology Physician 2085R0202X S6944 TX
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1161 21St Ave S, MCN Suite CCC-1118
Nashville, TN 37232-2675

Mailing address

719 Thompson Lane, Suite 30330
Nashville, TN 37204-3150
Phone (615) 322-3000

Other practice location 1

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 761-0878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191116000000 TX Practitioner - Diagnostic Radiology 7214264449 Reassigns benefits to 9 organizations
I20200601000714 OK Practitioner - Diagnostic Radiology 7214264449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians

Practice addresses (Care Compare)

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6944TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Indian Health Center CurrentSince Jan 27, 2020 Accepting new patients
El Reno Indian Health Center CurrentSince Jan 27, 2020 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Aug 4, 2020 Accepting new patients
Anadarko Indian Health Center CurrentSince Jan 27, 2020 Accepting new patients
Pawnee Indian Health Center CurrentSince Jan 27, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 17, 2020 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology Current Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 17, 2020 Accepting new patients
Wewoka Indian Health CurrentSince Jan 27, 2020 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Apr 27, 2020 Accepting new patients
Lawton Indian Hospital CurrentSince Jan 27, 2020 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Aug 4, 2020 Accepting new patients
Tuhc Radiology Group LLC Diagnostic Radiology Past Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients

Locations

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Dept 1467
Tulsa, OK 74182

36640 Highway 270
#C
Wewoka, OK 74884
Phone (405) 257-6282

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

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": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1831515287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 THOMPSON LANE, SUITE 30330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043150",
            "telephone_number": "615-322-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S, MCN SUITE CCC-1118",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322675",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153364",
            "country_code": "US",
            "telephone_number": "806-761-0878",
            "fax_number": "806-782-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAMERON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-10",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "3640",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S6944",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.