Active NPI
Jeremiah Duane Smith, M.D.
- Emergency Medicine Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- V6101
- Practice address
- 701 Grove Rd
Greenville, SC 29605-4210 - Phone
- (864) 455-7899
- Fax
- (864) 455-5474
- NPI assigned
- Jun 3, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01068533A | IN | |
| Pediatrics Physician | 208000000X | 39280 | SC | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 39280 | SC | |
| Emergency Medicine Physician | 207P00000X | V6101 | TX | Primary |
Addresses
Primary practice location
701 Grove Rd
Greenville, SC 29605-4210
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 392809 | Medicaid | SC | |
| 200996300 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TX, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1643 NW 136 Ave
Sunrise, FL 33323-2857
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01068533A | IN | MD | Pediatrics Physician |
| 39280 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Emergency Medicine | Current | Accepting new patients |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Longhorn Emergency Medical Associates PA | Emergency Medicine | Current | Accepting new patients |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Pathology Associates of Greenville PA | Current | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Greenville Health System | Past | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Emergency Medicine Physician
- Clinton, SC
- NPI 1033550058
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, SC
- NPI 1831151976
-
- Long Term Care Hospital
- Travelers Rest, SC
- NPI 1427504554
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1811439649
-
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1558311779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1982863270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-455-7899",
"fax_number": "864-455-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JEREMIAH",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01068533A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "39280",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "SC",
"license": "39280",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "V6101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "392809",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200996300",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.
- 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.