Active NPI
Jeffrey K Smith, MD
- Specialist
- Greenville, SC
National Provider Identifier
1932147188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13413
- Practice address
- 2094 Woodruff Rd
Greenville, SC 29607-5939 - Phone
- (864) 676-9211
- Fax
- (864) 676-9432
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 13413 | SC | Primary |
Addresses
Primary practice location
2094 Woodruff Rd
Greenville, SC 29607-5939
Mailing address
2094 Woodruff Rd
Greenville, SC 29607-5939
Phone (864) 676-9211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13413 | Other | SC | SC MEDICAL LIC # |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2094 Woodruff Rd
Greenville, SC 29607-5939
Phone (864) 676-9211
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Psychiatric Service PA | Current | Accepting new patients |
Locations
2094 Woodruff Rd
Greenville, SC 29607
Phone (864) 676-9211
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Greenville, SC
- NPI 1164481867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1932147188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2094 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075939",
"telephone_number": "864-676-9211",
"fax_number": "864-676-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2094 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075939",
"telephone_number": "864-676-9211",
"fax_number": "864-676-9432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JEFFREY",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "13413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MEDICAL LIC #",
"identifier": "13413",
"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 Oct 16, 2007; 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.