Active NPI
Melinda Jan Smith, MD
- Cardiovascular Disease Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 15381
- Practice address
- 877 W Faris Rd
Ste B
Greenville, SC 29605-5608 - Phone
- (864) 455-6900
- Fax
- (864) 255-5619
- NPI assigned
- Dec 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 15381 | SC | Primary |
Addresses
Primary practice location
877 W Faris Rd
Ste B
Greenville, SC 29605-5608
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153817 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050808000777 | SC | Practitioner - Cardiovascular Disease (Cardiology) | 4981633146 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Carolina Cardiology Consultants, P.a. | Past | Accepting new patients |
Locations
100 Healthy Way
Ste 1250
Anderson, SC 29621
Phone (864) 224-2465
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
877 W Faris Rd
Ste B
Greenville, SC 29605
Phone (864) 522-6225
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1184049041
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Specialist
- Greenville, SC
- NPI 1386696763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1922084086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "SUITE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545",
"telephone_number": "864-797-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 W FARIS RD",
"address_2": "STE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296055608",
"telephone_number": "864-455-6900",
"fax_number": "864-255-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MELINDA",
"middle_name": "JAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "15381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153817",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.