Sidney Kendrick Smith III, M.D.
Individual provider Active NPI Psychiatry Physician · Metairie, LA
NPI 1922148162 · NPPES record last updated Oct 7, 2021
Key facts
- NPI
- 1922148162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 017761 (LA)
- Practice address
- 3901 Houma Blvd Ste 401
Metairie, LA 70006-2930 - Phone
- (504) 889-1448
- Fax
- (504) 889-1452
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Louisiana State University School of Medicine in New Orleans, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jefferson Psychiatric Associates LLC
Practice addresses (Care Compare)
3901 Houma Blvd
Suite 401
Metairie, LA 70006-2930
Phone (504) 889-1448
Hospital & facility affiliations
- Nurses Registry Home Health, Inc.
- East Jefferson General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110817000150 | LA | Practitioner - Psychiatry |
3779508676 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017761 | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Psychiatric Associates LLC | Psychiatry | Current |
Accepting new patients |
| University Healthcare System, L.C. | Past | Accepting new patients | |
| River Oaks Inc | Past | Accepting new patients |
Locations
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
3340 Severn Ave
Ste 206
Metairie, LA 70002
Phone (504) 889-1448
3901 Houma Blvd
Ste 401
Metairie, LA 70006
Phone (504) 889-1448
3701 Behrman Pl
New Orleans, LA 70114
Phone (504) 367-5640
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/05a97b88-f719-405f-abbb-125ac71b7cee/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 017761 | LA | Yes |
Addresses
Primary practice location
3901 Houma Blvd Ste 401
Metairie, LA 70006-2930
Mailing address
3901 Houma Blvd Ste 401
Metairie, LA 70006-2930
Phone (504) 889-1448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1905615 | Medicaid | LA |
Other providers in Metairie, LA
- Quienia Keiotta Smith
- Schwanell Smith
- Sean Smith
- Shania Smith
- Shawn Robert Smith
- Sierra Alexandra Smith
- Takeera M Smith
- Tammy T Smith
- Taryn M. Smith
- Tiana Smith
All providers in Metairie, LA · Psychiatry Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.