Individual provider Active NPI

Earl David Smith, D.C.

  • Internist Chiropractor
  • Ringgold, GA
National Provider Identifier
1952471278
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
6245 Issued in GA
Practice address
29 Legion St
Ringgold, GA 30736-2369
Phone
(706) 965-5777
Fax
(706) 965-5787
NPI assigned
Nov 8, 2006
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 6245 GA Primary

Addresses

Primary practice location

29 Legion St
Ringgold, GA 30736-2369

Mailing address

PO Box 1091
Ringgold, GA 30736-1091
Phone (706) 965-5777

Other practice location 1

4929 Brainerd Rd
Chattanooga, TN 37411-3902
Phone (423) 894-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040729000655 GA Practitioner - Chiropractic 3375513047
I20161019001251 TN Practitioner - Chiropractic 3375513047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Brainerd Medical Associates PCGroup PAC ID 9335221902, 3 clinicians
Superior Physical Health IncGroup PAC ID 5294023529, 2 clinicians

Practice addresses (Care Compare)

4929 Brainerd Rd
Chattanooga, TN 37411-3902
Phone (423) 894-5005

8000 E Brainerd Rd
Chattanooga, TN 37421-3278
Phone (423) 803-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6245GAMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Physical Health Inc CurrentSince Jun 6, 2016 Accepting new patients
Brainerd Medical Associates PC CurrentSince Jun 14, 2023 Accepting new patients

Locations

4929 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 894-5003

8000 E Brainerd Rd
Chattanooga, TN 37421
Phone (423) 316-2294

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1952471278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1091",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307361091",
            "telephone_number": "706-965-5777",
            "fax_number": "706-965-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LEGION ST",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362369",
            "telephone_number": "706-965-5777",
            "fax_number": "706-965-5787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4929 Brainerd Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374113902",
            "country_code": "US",
            "telephone_number": "423-894-5005",
            "fax_number": "423-894-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EARL",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "GA",
            "license": "6245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.