Organization Active NPI

Roy E. Smith, M.D.

  • Family Medicine Physician
  • Camden, SC
National Provider Identifier
1972756609
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15151 Issued in SC
Legal business name
ROY E. SMITH, M.D.
Practice address
1111 Mill St
Camden, SC 29020-3763
Phone
(803) 425-1330
Fax
(803) 425-1337
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mrs. Katherine Lee Lanier-Smith, M.S.
Title
Practice Manager
Phone
(803) 425-1330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 15151 SC Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 15151 SC

Addresses

Primary practice location

1111 Mill St
Camden, SC 29020-3763

Mailing address

1111 Mill St
Camden, SC 29020-3763
Phone (803) 425-1330

Other identifiers 1

IdentifierTypeStateIssuer
151515MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1972756609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203763",
            "telephone_number": "803-425-1330",
            "fax_number": "803-425-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203763",
            "telephone_number": "803-425-1330",
            "fax_number": "803-425-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY E. SMITH, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "LANIER-SMITH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-425-1330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15151",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "SC",
            "license": "15151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151515",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.