Phillip Karl Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

012587 Issued in TN

Practice address

910 Madison
#922
Memphis, TN 38163-0001

Phone

(901) 448-5630

Fax

(901) 448-7255

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phillip.smith.1@14883.direct.athenahealth.com

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.

• Uhs of Lakeside LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1083687651
  Medicare reassignment NPD
• Uhs of Parkwood Inc

  • Psychiatric Hospital
  • Olive Branch, MS
  • NPI 1093785859
  Medicare reassignment NPD
• Uhs of Parkwood Inc

  • Psychiatry Physician
  • Olive Branch, MS
  • NPI 1639345697
  NPD
• Univ. TN Health Science Center

  • Student Health Clinic/Center
  • Memphis, TN
  • NPI 1972637411
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385769600000",
    "number": "1962434878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8983 CAIRN RIDGE DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396652",
            "telephone_number": "901-282-6267",
            "fax_number": "901-531-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MADISON",
            "address_2": "#922",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381630001",
            "telephone_number": "901-448-5630",
            "fax_number": "901-448-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILLIP",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "012587",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "12888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Grace Smith, OTR/L
• Molly Smith, PTA
• Nakicia Smith, LCSW
• Nastassia Smith, FNP
• Navy O'Neal Smith
• R. Kuhen Smith, D.D.S.
• Rachael Smith, CCC-SLP
• Rachael Smith
• Randelon D Smith, MD
• Rebecca Ann Smith, LPCMHSP

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.