Individual provider Active NPI

Xujia Annie Song Smith, M.D.

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1912269564
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME128438 Issued in FL
Practice address
3 Shircliff Way Ste 200
Jacksonville, FL 32204-4785
Phone
(904) 384-3699
Fax
(904) 384-8529
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME128438 FL Primary

Addresses

Primary practice location

3 Shircliff Way Ste 200
Jacksonville, FL 32204-4785

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161219001968 FL Practitioner - Obstetrics/Gynecology 6709187669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

1232 King St
Jacksonville, FL 32204-4212
Phone (904) 821-7556

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients

Locations

9404 Waypoint Pl
Jacksonville, FL 32257
Phone (904) 260-2255

3 Shircliff Way
Ste 200
Jacksonville, FL 32204
Phone (904) 308-6463

2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704

2363 Dunn Ave
Ste 2363
Jacksonville, FL 32218

2363 Dunn Ave
Jacksonville, FL 32218
Phone (904) 751-6030

2363 Dunn Ave
Ste 23631
Jacksonville, FL 32218
Phone (904) 757-2234

1232 King St
Jacksonville, FL 32204
Phone (904) 384-3699

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

5002 W Lemon St
Tampa, FL 33609

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Interoperability endpoints

  • Direct secure messaging: xujia.smith@wcfnf.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1912269564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044785",
            "telephone_number": "904-384-3699",
            "fax_number": "904-384-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "XUJIA",
        "middle_name": "ANNIE SONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME128438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.