Organization Active NPI

Cheryl Austin Smith, MD, Inc.

Doing business as Csmithmd

  • Addiction Medicine (Preventive Medicine) Physician
  • Shreveport, LA
National Provider Identifier
1891822714
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
CHERYL AUSTIN SMITH, MD, INC.
Doing business as
Csmithmd
Practice address
820 Jordan St Ste 240
Shreveport, LA 71101-4512
Phone
(877) 276-4846
Fax
(318) 252-0560
NPI assigned
Feb 27, 2007
Last updated
Feb 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2023

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

Authorized official

Name
Cheryl Austin Smith, MDNPI 1235247230
Title
President
Phone
(877) 276-4846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 023233 LA
Addiction Medicine (Preventive Medicine) Physician 2083A0300X Primary

Addresses

Primary practice location

820 Jordan St Ste 240
Shreveport, LA 71101-4512

Mailing address

820 Jordan St Ste 240
Shreveport, LA 71101-4512
Phone (877) 276-4846

Other identifiers 1

IdentifierTypeStateIssuer
1495671MedicaidLA

Other names 1

  • CSMITHMD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031201000497 LA Part B Supplier - Clinic/Group Practice 8224933577 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

820 Jordan St
Ste 240
Shreveport, LA 71101
Phone (877) 276-4846

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676073600000",
    "number": "1891822714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 240",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014512",
            "telephone_number": "877-276-4846",
            "fax_number": "318-252-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 240",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014512",
            "telephone_number": "877-276-4846",
            "fax_number": "318-252-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL AUSTIN SMITH, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-276-4846",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "023233",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1495671",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSMITHMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.