NPIMap

Individual provider Active NPI

Leslie Smothers, D.O.

  • Family Medicine Physician
  • Hamilton, AL
National Provider Identifier
1851706477
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.1743 Issued in AL
Practice address
1256 Military St S
Hamilton, AL 35570
Phone
(205) 921-6496
Fax
(205) 921-6390
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X DO.1743 AL Primary

Addresses

Primary practice location

1256 Military St S
Hamilton, AL 35570

Mailing address

50 S B B King Blvd
Memphis, TN 38103-2626
Phone (901) 436-1381

Other practice location 1

1665 S Green St
Tupelo, MS 38804-6556
Phone (662) 377-2189

Other practice location 2

1665 S Green St
Tupelo, MS 38804-6556
Phone (662) 377-2189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171108001551 AL Practitioner - Family Practice 6103113162 Reassigns benefits to 1 organization
I20200805003109 MS Practitioner - Family Practice 6103113162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
William Carey University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Desoto Family Medical CenterGroup PAC ID 2567470412, 6 clinicians

Practice addresses (Care Compare)

1785 Nonconnah Blvd
Memphis, TN 38132-2139
Phone (901) 344-0101

75 Physicians LN
Southaven, MS 38671-6102
Phone (662) 393-7722

Hospital & facility affiliations

  • Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131
  • Baptist Home Care and Hospice North Mississippi Home health agency, Batesville, MS, CCN 257114
  • Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
  • Asercare Hospice - Hamilton Hospice, Hamilton, AL, CCN 011586
  • Vitalcaring Group Hospice, Batesville, MS, CCN 251521
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1743ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Regional Medical Center, Inc CurrentSince Aug 30, 2018 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince May 1, 2024 Accepting new patients
D.W. McMillan Memorial Hospital Current Accepting new patients
Desoto Family Medical Center Family Medicine CurrentSince Feb 10, 2025 Accepting new patients
North Mississippi Faculty Practice Plan LLC Family Medicine CurrentSince Jul 30, 2020 Accepting new patients
Marion Regional Medical Center, Inc. CurrentSince Aug 30, 2018 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince May 1, 2024 Accepting new patients
Smothers Medical LLC Family Medicine Current Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients

Locations

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

75 Physicians Ln
Southaven, MS 38671
Phone (662) 393-7722

1665 S Green St
Tupelo, MS 38804
Phone (662) 377-2189

Interoperability endpoints

  • Direct secure messaging: lsmothers@landmarkhealth-direct.org
  • Direct secure messaging: ms_lsmothe2@landmarkhealth-direct.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys Hospice of HamiltonHamilton, AL, CCN 011586 Hospice Operational/Managerial Control Apr 18, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 7

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1851706477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "901-436-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 MILITARY ST S",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "35570",
            "telephone_number": "205-921-6496",
            "fax_number": "205-921-6390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 S Green St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388046556",
            "country_code": "US",
            "telephone_number": "662-377-2189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 S Green St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388046556",
            "country_code": "US",
            "telephone_number": "662-377-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOTHERS",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.1743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, AL

Sources for this page

Verify at the official NPI Registry.