Active NPI
Gregory Wilkinson Smith, PA-C
- Physician Assistant
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0007057
- Practice address
- 100 E Carroll St
Salisbury, MD 21801-5422 - Phone
- (410) 546-6400
- NPI assigned
- Dec 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | C0007057 | MD | |
| Physician Assistant | 363A00000X | C0007057 | MD | Primary |
Addresses
Primary practice location
100 E Carroll St
Salisbury, MD 21801-5422
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Phone (800) 749-5191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0007057 | Other | MD | MEDICAL LICSENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1001 Philadelphia Ave
Ocean City, MD 21842-3735
Phone (410) 289-6241
400 Eastern Shore Dr
Salisbury, MD 21804-5513
Phone (410) 543-8240
6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 629-0041
9714 Healthway Dr
Berlin, MD 21811-1154
Phone (410) 641-3340
Hospital & facility affiliations
- Homecall
- Adoration Home Health
- Tidalhealth Home Care
- Atlantic General Hospital
- Tidalhealth Peninsula Regional, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.2 of 100
- Quality
- 70.92
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0007057 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean City Primary Care | Physician Assistant | Current | Accepting new patients |
| Tidalhealth Peninsula Regional, Inc. | Physician Assistant | Current | Accepting new patients |
| Tidalhealth Peninsula Regional, Inc. | Current | Accepting new patients | |
| Tidalhealth Primary Care, LLC | Current | Accepting new patients | |
| Atlantic Immedicare LLC | Past | Accepting new patients |
Locations
400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
Interoperability endpoints
- gregorysmith@agh.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Salisbury, MD
- NPI 1104453208
-
- Family Medicine Physician
- Berlin, MD
- NPI 1871582171
-
- Family Medicine Physician
- Salisbury, MD
- NPI 1184832040
Physician Assistant
-
- Community/Retail Pharmacy
- Salisbury, MD
- NPI 1871031559
-
- General Practice Physician
- Ocean City, MD
- NPI 1518199223
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cambridge, MD
- NPI 1811982069
-
- Home Health Agency
- Easton, MD
- NPI 1700971843
-
- Home Health Agency
- Salisbury, MD
- NPI 1811976418
-
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1891267647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "800-749-5191",
"fax_number": "410-630-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-546-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GREGORY",
"middle_name": "WILKINSON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "C0007057",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0007057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICSENSE",
"identifier": "C0007057",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.