Individual provider Active NPI

Laura J Smith, OT

  • Family Nurse Practitioner
  • Central, SC
National Provider Identifier
1841328739
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26481 Issued in SC
Practice address
1035 W Main St
Central, SC 29630-9229
Phone
(864) 512-7740
Fax
(864) 512-7741
NPI assigned
Mar 1, 2007
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26481 SC Primary
Occupational Therapist 225X00000X 2451 SC

Addresses

Primary practice location

1035 W Main St
Central, SC 29630-9229

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-7740

Other practice location 1

107 Perpetual Sq
Anderson, SC 29621-1713
Phone (610) 991-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230508001703 SC Practitioner - Nurse Practitioner 7911362355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

1035 W Main St
Central, SC 29630-9229
Phone (864) 512-7740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2451SCMDOccupational Therapist
26481SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince May 8, 2023 Accepting new patients
Anmed Health CurrentSince May 8, 2023 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Past Accepting new patients

Locations

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

1035 W Main St
Central, SC 29630
Phone (864) 512-7740

Interoperability endpoints

  • Direct secure messaging: lsmith22607@direct.anmedhealth.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1841328739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-7740",
            "fax_number": "864-512-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W MAIN ST",
            "city": "CENTRAL",
            "state": "SC",
            "postal_code": "296309229",
            "telephone_number": "864-512-7740",
            "fax_number": "864-512-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Perpetual Sq",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211713",
            "country_code": "US",
            "telephone_number": "610-991-2034",
            "fax_number": "610-438-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26481",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central, SC

Sources for this page

Verify at the official NPI Registry.