Gregory N. Smith MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME66525 Issued in FL

Legal business name

GREGORY N. SMITH MD PA

Practice address

1250 S 18TH St
Sutie 204
Amelia Island, FL 32034-1902

Phone

(904) 261-8787

Fax

(904) 261-9353

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Neal Smith, MD

Title

Owner

Phone

(904) 261-8787

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1891075867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "address_2": "SUITE 204",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320341902",
            "telephone_number": "904-261-8787",
            "fax_number": "904-261-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "address_2": "SUTIE 204",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320341902",
            "telephone_number": "904-261-8787",
            "fax_number": "904-261-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY N. SMITH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-261-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME66525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253374000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.