Devon D. Smith, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21152 Issued in TN

Practice address

1621 W Morris Blvd Ste a
Morristown, TN 37813

Phone

(432) 307-8088

Fax

(423) 307-8049

NPI assigned

Mar 16, 2006

Last updated

Jun 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 8

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

Internal Medicine

Education

East Tennessee State University Quillen College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tennova Healthcare - Newport Medical Center Hospital, Newport, TN, CCN 440153
• Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• App of Tennessee HM, PLLC

  • Hospitalist Physician
  • Shelbyville, TN
  • NPI 1396160768

  Emergency Medicine

  Medicare reassignment NPD
• Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
  • NPI 1528433802

  Internal Medicine, TN

  Medicare reassignment NPD
• Devon D. Smith, MD

  dba Grace Internal Medicine

  • Internal Medicine Physician
  • Morristown, TN
  • NPI 1114113628
  Authorized official Same address or phone
• Attentus of Scott County, LLC

  dba Scott County Primary Care Clinic

  • Family Nurse Practitioner
  • Oneida, TN
  • NPI 1528029683

  Internal Medicine

  NPD (past)
• Cocke County Hma, LLC

  dba Tennova Healthcare-Newport Medical Center

  • General Acute Care Hospital
  • Newport, TN
  • NPI 1972576247
  NPD (past)
• Morristown Hamblen Hosp

  dba Morristown Inpatient Specialists

  • Hospitalist Physician
  • Morristown, TN
  • NPI 1982874129
  NPD (past)

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

• Cocke County Hma, LLC

  dba Tennova Healthcare-Newport Medical Center

  • General Acute Care Hospital
  • Newport, TN
  • NPI 1972576247
  Care Compare affiliation
• Metro Knoxville Hma LLC

  dba Tennova Healthcare North Knoxville Medical Center

  • General Acute Care Hospital
  • Powell, TN
  • NPI 1043292899
  Care Compare affiliation

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1952370587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD STE A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132967",
            "telephone_number": "432-307-8088",
            "fax_number": "423-307-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD STE A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37813",
            "telephone_number": "432-307-8088",
            "fax_number": "423-307-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEVON",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "21152",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "21152",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "21152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "208941765",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64920887",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370150",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE INS.",
            "identifier": "TN0116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TNCARE",
            "identifier": "100024081",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3069190",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4153913",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "363946",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Smith, RN
• Andrea Ann Smith, PHARM.D.
• Ashleigh Smith, R.N.
• Barbara Gayle Smith, FNP
• Chelsea Forrest Smith, FNP
• Kasey Smith, FNP-BC
• Kim White Smith
• Lydia Darlene Smith, CNA
• Melissa D. Smith, FNP
• Raley Layne Smith, PA-C

• Internal Medicine Physician in Morristown, TN
• Providers in Morristown, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.