Individual provider Active NPI

Angela Kynard Smelley, MD

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1902857154
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21061 Issued in AL
Practice address
1000 Fairfax Park
Tuscaloosa, AL 35406-2806
Phone
(205) 366-9181
Fax
(205) 366-9182
NPI assigned
May 12, 2006
Last updated
Jul 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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 21061 AL Primary

Addresses

Primary practice location

1000 Fairfax Park
Tuscaloosa, AL 35406-2806

Mailing address

1000 Fairfax Park
Tuscaloosa, AL 35406-2806
Phone (205) 366-9181

Other names 1

  • Angela Lynn Kynard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080124000686 AL Practitioner - Family Practice 6608958988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hale County HospitalGroup PAC ID 3375528169, shared by 6 NPIs, 19 clinicians

Practice addresses (Care Compare)

40870 Al Hwy 69
Suite a
Moundville, AL 35474-4367
Phone (205) 371-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hale County Hospital CurrentSince May 25, 2012 Accepting new patients
Hale County Hospital CurrentSince Mar 1, 2016 Accepting new patients
Hale County Hospital CurrentSince May 25, 2012 Accepting new patients
Hale County Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

508 Greene St
Greensboro, AL 36744
Phone (334) 624-3024

508 Greene St
#2
Greensboro, AL 36744
Phone (334) 624-3024

40870 AL Highway 69
Ste A
Moundville, AL 35474
Phone (205) 371-4444

Interoperability endpoints

  • Direct secure messaging: angela.smelley.1@12717.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12717/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1902857154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062806",
            "telephone_number": "205-366-9181",
            "fax_number": "205-366-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062806",
            "telephone_number": "205-366-9181",
            "fax_number": "205-366-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMELLEY",
        "first_name": "ANGELA",
        "middle_name": "KYNARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KYNARD",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.