Active NPI
Adam C Smith, D.O.
- Psychiatry Physician
- Leitchfield, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 05193
- Practice address
- 910 Wallace Ave Ste 201
Leitchfield, KY 42754-2414 - Phone
- (270) 230-0212
- Fax
- (270) 230-0104
- NPI assigned
- Mar 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R4868 | KY | |
| Psychiatry Physician | 2084P0800X | 05193 | KY | Primary |
Addresses
Primary practice location
910 Wallace Ave Ste 201
Leitchfield, KY 42754-2414
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asmith117588@direct.owensborohealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
908 Wallace Ave
Suite 201
Leitchfield, KY 42754-1495
Phone (270) 230-0212
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Psychiatry | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Twin Lakes Regional Medical Center, Inc | Psychiatry | Past | Accepting new patients |
Locations
910 Wallace Ave
Ste 201
Leitchfield, KY 42754
Phone (270) 230-0212
910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035
908 Wallace Ave
Ste 201
Leitchfield, KY 42754
Phone (270) 230-0212
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
Organizations & group practices 4
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.
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Psychiatry Physician
- Leitchfield, KY
- NPI 1588260889
-
- Psychiatric Hospital Unit
- Leitchfield, KY
- NPI 1114638384
Psychiatry
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1932604451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 WALLACE AVE STE 201",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427542414",
"telephone_number": "270-230-0212",
"fax_number": "270-230-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ADAM",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "R4868",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "05193",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asmith117588@direct.owensborohealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "910 Wallace Ave Ste 201",
"city": "Leitchfield",
"state": "KY",
"country_code": "US",
"postal_code": "427542414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.