Jeffrey Galt Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

021861 Issued in TN

Practice address

115 E Brooklyn St
Linden, TN 37096-3515

Phone

(931) 589-2104

Fax

(931) 589-2513

NPI assigned

Sep 29, 2005

Last updated

May 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perry County Medical Center IncGroup PAC ID 4981706330, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Perry County Nursing Home Nursing home, Linden, TN, CCN 445503

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.smith.p1@direct.trchg.nextgenshare.com

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.

• Perry County Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Linden, TN
  • NPI 1154322303
  Medicare reassignment Care Compare group NPD
• Perry County Medical Center, Inc.

  • Dental Clinic/Center
  • Linden, TN
  • NPI 1134937345
  NPD
• Buffalo River Healthcare LLC

  dba Perry County Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Linden, TN
  • NPI 1164565206
  NPD (past)
• Perry County Medical Center, Inc.

  dba Three Rivers Community Health Group

  • Federally Qualified Health Center (FQHC)
  • Lyles, TN
  • NPI 1659567527
  NPD (past)

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

• Buffalo River Healthcare LLC

  dba Perry County Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Linden, TN
  • NPI 1164565206

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1922095561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E BROOKLYN ST",
            "address_2": "P.O. BOX 916",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370963515",
            "telephone_number": "931-589-2104",
            "fax_number": "931-589-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BROOKLYN ST",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370963515",
            "telephone_number": "931-589-2104",
            "fax_number": "931-589-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "GALT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9601143",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "021861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01143",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3064922",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8976820",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Hufstedler Richardson, RNC
• Grady Ross Rowe, PA
• Kelsey Sain
• Celeste Melody Schneider
• Jonathon Alan Shuler, PHARMD
• Patricia W Smith
• Smiths Pharmacy
• State of Tennessee (Perry County Health Department)
• Stephen L. Averett
• Vivian Denise Stokes, FNP-C

• Family Medicine Physician in Linden, TN
• Providers in Linden, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.