Individual provider Active NPI

William Ellison Smithhart, MD

  • Neonatal-Perinatal Medicine Physician
  • Flowood, MS
National Provider Identifier
1831536713
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
26759 Issued in MS
Practice address
5 River Bend PL Ste C
Flowood, MS 39232-7618
Phone
(601) 957-7345
Fax
(769) 251-5429
NPI assigned
May 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 26759 MS Primary

Addresses

Primary practice location

5 River Bend PL Ste C
Flowood, MS 39232-7618

Mailing address

Newborn Associates PA
5 River Bend PL Ste C
Flowood, MS 39232
Phone (601) 957-7345

Other identifiers 1

IdentifierTypeStateIssuer
06379755MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20191112001670 MS Practitioner - Pediatric Medicine 0143469122 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26759MSMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Physician Services LLC CurrentSince Oct 26, 2019 Accepting new patients
River Oaks Hospital LLC Past Accepting new patients
Jackson Hma LLC Past Accepting new patients
St Dominic-Jackson Memorial Hospital Past Accepting new patients
Rush Medical Foundation Past Accepting new patients

Locations

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4

Organizations & group practices 5

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1831536713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEWBORN ASSOCIATES PA",
            "address_2": "5 RIVER BEND PL STE C",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-957-7345",
            "fax_number": "769-251-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RIVER BEND PL STE C",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327618",
            "telephone_number": "601-957-7345",
            "fax_number": "769-251-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHHART",
        "first_name": "WILLIAM",
        "middle_name": "ELLISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MS",
            "license": "26759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06379755",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.