Individual provider Active NPI

Rebecca Helen Smith, MD

  • Family Medicine Physician
  • Mt Pleasant, TN
National Provider Identifier
1861639031
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51818 Issued in TN
Practice address
200 S Cross Bridges Rd
Mt Pleasant, TN 38474-1714
Phone
(931) 379-5821
Fax
(931) 379-5867
NPI assigned
Jan 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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 51818 TN Primary

Addresses

Primary practice location

200 S Cross Bridges Rd
Mt Pleasant, TN 38474-1714

Mailing address

854 W James Campbell Blvd
Suite 303
Columbia, TN 38401-4659
Phone (931) 379-5821

Other identifiers 1

IdentifierTypeStateIssuer
3710089MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20141020000499 TN Practitioner - Family Practice 5294874764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PA 545 clinicians

Practice addresses (Care Compare)

1719 Gallatin Pike N
Madison, TN 37115-2123
Phone (615) 870-0143

2531 Elm Hill Pike
Nashville, TN 37214-3154
Phone (615) 883-6995

6413 Lee Hwy
Suite 107
Chattanooga, TN 37421-4860
Phone (423) 225-3358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jan 7, 2019 Accepting new patients
American Current Care PA CurrentSince Jan 7, 2019 Accepting new patients

Locations

6413 Lee Hwy
Ste 107
Chattanooga, TN 37421
Phone (423) 225-3358

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 25

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 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1861639031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "address_2": "SUITE 303",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-379-5821",
            "fax_number": "931-379-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CROSS BRIDGES RD",
            "city": "MT PLEASANT",
            "state": "TN",
            "postal_code": "384741714",
            "telephone_number": "931-379-5821",
            "fax_number": "931-379-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "middle_name": "HELEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "51818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710089",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, TN

Sources for this page

Verify at the official NPI Registry.