Active NPI
Andrew Garland Smith III, DC
- Chiropractor
- Whiteville, NC
National Provider Identifier
1982606653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3301
- Practice address
- 100 E Main St
Whiteville, NC 28472-4132 - Phone
- (910) 642-2481
- Fax
- (910) 642-9010
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3301 | NC | Primary |
Addresses
Primary practice location
100 E Main St
Whiteville, NC 28472-4132
Mailing address
100 E Main St
Whiteville, NC 28472-4132
Phone (910) 642-2481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900397 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050215000876 | NC | Practitioner - Chiropractic | 7012969348 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Smith Chiropractic and Wellness
Practice addresses (Care Compare)
100 E Main St
Whiteville, NC 28472-4132
Phone (910) 642-2481
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3301 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Chiropractic and Wellness | Chiropractor | Current | Accepting new patients |
Locations
100 E Main St
Whiteville, NC 28472
Phone (910) 642-2481
Organizations & group practices 1
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.
-
- Chiropractor
- Whiteville, NC
- NPI 1932502903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1982606653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724132",
"telephone_number": "910-642-2481",
"fax_number": "910-642-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724132",
"telephone_number": "910-642-2481",
"fax_number": "910-642-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ANDREW",
"middle_name": "GARLAND",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900397",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.