Philip C Smith, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17782 Issued in MS

Practice address

401 Baptist Dr Ste 201
Madison, MS 39110

Phone

(601) 853-2020

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Ophthalmology

Education

University of Mississippi School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Eye Associates PLLCGroup PAC ID 2264320662, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.42 of 100Reported as group

Quality

82.95

Promoting interoperability

100

Improvement activities

40

Cost

75.12

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/t7g8d1e4
• Direct secure messaging: philipsmith@direct-address.net

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.

• Jackson Eye Associates PLLC

  • Ophthalmology Physician
  • Madison, MS
  • NPI 1164428868
  Medicare reassignment Care Compare group NPD
• Eye and Aesthetic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • McComb, MS
  • NPI 1902957483
  NPD (past)
• Southwest Mississippi Eye Center

  • Ophthalmology Physician
  • McComb, MS
  • NPI 1346385762
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1942206149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE 330",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022027",
            "telephone_number": "601-353-2020",
            "fax_number": "601-714-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BAPTIST DR STE 201",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-853-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 N State St",
            "address_2": "Ste 403",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022413",
            "country_code": "US",
            "telephone_number": "601-353-2020 x138",
            "fax_number": "601-714-5110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 N State St",
            "address_2": "Ste 403",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022413",
            "country_code": "US",
            "telephone_number": "601-353-2020 x138",
            "fax_number": "601-714-5110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022027",
            "country_code": "US",
            "telephone_number": "601-353-2020 x146",
            "fax_number": "601-714-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILIP",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "17782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001256719",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amerial Smith
• Derrick Brice Smith, DPT
• Grace Smith
• Jasmine Martin Smith, PT, DPT
• Keith Letiste Smith, PHARMD
• Richard L. Smith, DMD
• William H. Smith Jr., M.D.
• James Adam Smitherman, MD
• Jeremy Smitherman, MD
• Carrie Tilley Snyder, AU.D

• Ophthalmology Physician in Madison, MS
• Providers in Madison, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.