Active NPI
Cheryl Austin Smith, MD, Inc.
Doing business as Csmithmd
- Addiction Medicine (Preventive Medicine) Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Austin Smith, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1495671 | Medicaid | LA |
Other names 1
- CSMITHMD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction Medicine (Preventive Medicine) Physician
- Shreveport, LA
- NPI 1235247230
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.