Scott William Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16211 Issued in SC

Practice address

990 Lake Hunter Cir Ste 101
Mount Pleasant, SC 29464-5426

Phone

(843) 972-8136

Fax

(843) 972-8163

NPI assigned

May 30, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ketamine Treatment Services

  • Adult Medicine Physician
  • Mount Pleasant, SC
  • NPI 1669027595
  NPD Authorized official
• The Island Doctor

  • Family Medicine Physician
  • Isle of Palms, SC
  • NPI 1053165316
  NPD Authorized official
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1972550283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 LAKE HUNTER CIR STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645426",
            "telephone_number": "843-972-8136",
            "fax_number": "843-972-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 LAKE HUNTER CIR STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645426",
            "telephone_number": "843-972-8136",
            "fax_number": "843-972-8163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2114 Highway 41 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294666204",
            "country_code": "US",
            "telephone_number": "843-388-9000",
            "fax_number": "843-388-6937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "16211",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "16211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L13082",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latasia Smith
• Lora Bea Smith, MS, OTR/L
• Madison Taylor Smith, MSW, LISW-CP
• Michael Scott Smith, DPT
• Neda Smith, FDN-P
• Whitney Ann Smith, ANP, ADULT HEALTH
• Caroline C. Smythe, M.D.
• Jameson Snead
• SNH SC Tenant LLC
• SNH SC Tenant LLC

• Family Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.