Individual provider Active NPI

Gina Maria McCrary-Smith, DO

  • Family Medicine Physician
  • North Miami, FL
National Provider Identifier
1841291358
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14324 Issued in FL
Practice address
11645 Biscayne Blvd Ste 308
North Miami, FL 33181-3139
Phone
(055) 388-8353
Fax
(305) 994-0054
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS14324 FL Primary

Addresses

Primary practice location

11645 Biscayne Blvd Ste 308
North Miami, FL 33181-3139

Mailing address

11645 Biscayne Blvd Ste 207
North Miami, FL 33181-3138
Phone (305) 538-8835

Other practice location 1

1221 71st St
Miami Beach, FL 33141-3647
Phone (305) 538-8835

Other practice location 2

710 Alton Rd
Miami Beach, FL 33139-5504
Phone (305) 538-8835

Other identifiers 1

IdentifierTypeStateIssuer
019321000MedicaidFL

Other names 1

  • Gina Maria McCrary Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170127002503 FL Practitioner - General Practice 9638203177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Beach Community Health Center, Inc.Group PAC ID 8123090925, 49 clinicians

Practice addresses (Care Compare)

1221 71St St
Miami, FL 33141-3647
Phone (305) 538-8835

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Community Health Center Inc Current Accepting new patients
American Current Care P.a. CurrentSince Feb 13, 2026 Accepting new patients
Miami Beach Community Health Center Inc CurrentSince Jan 13, 2020 Accepting new patients
American Current Care PA CurrentSince Feb 13, 2026 Accepting new patients
Miami Beach Community Health Center Inc CurrentSince Jan 13, 2020 Accepting new patients

Locations

1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520

7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174

1221 71st St
Miami Beach, FL 33141

710 Alton Rd
Miami Beach, FL 33139

11645 Biscayne Blvd
Ste 308
North Miami, FL 33181
Phone (305) 895-0010

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066

Interoperability endpoints

  • Direct secure messaging: ginamccrarysmith@slcdh.allscriptsdirect.net

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1841291358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 207",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813138",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 308",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813139",
            "telephone_number": "055-388-8353",
            "fax_number": "305-994-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 71st St",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331413647",
            "country_code": "US",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Alton Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331395504",
            "country_code": "US",
            "telephone_number": "305-538-8835",
            "fax_number": "305-938-4044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRARY-SMITH",
        "first_name": "GINA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019321000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "MCCRARY",
            "middle_name": "MARIA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.