Individual provider Active NPI

Marilyn Dyer Smith

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1992152284
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-097380 Issued in AL
Practice address
1850 McFarland Blvd N
Tuscaloosa, AL 35406-2138
Phone
(205) 556-5541
Fax
(205) 554-7937
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-097380 AL Primary

Addresses

Primary practice location

1850 McFarland Blvd N
Tuscaloosa, AL 35406-2138

Mailing address

1850 McFarland Blvd N
Tuscaloosa, AL 35406-2138
Phone (205) 556-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823000756 AL Practitioner - Nurse Practitioner 0648563908 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscaloosa Nephrology Associates PCGroup PAC ID 0547280968, 5 clinicians

Practice addresses (Care Compare)

1850 McFarland Blvd N
Tuscaloosa, AL 35406-2138
Phone (205) 556-5541

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscaloosa Nephrology Associates PC CurrentSince Oct 1, 2022 Accepting new patients
Pickens County Primary Care, P.C Current Accepting new patients
Pickens County Primary Care, P.C CurrentSince Dec 30, 2019 Accepting new patients
Pickens County Primary Care, PC CurrentSince Jul 23, 2019 Accepting new patients
Pickens County Primary Care PC CurrentSince Jul 23, 2019 Accepting new patients
Dutch Medical Clinics, Inc. Family Past Accepting new patients

Locations

630 4th St NW
Gordo, AL 35466
Phone (205) 364-0284

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

108 4th Ave SW
Ste A
Reform, AL 35481
Phone (205) 242-0580

815 7th Ave SW
Reform, AL 35481
Phone (205) 375-2438

1850 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 556-5541

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Interoperability endpoints

  • Direct secure messaging: marilyn.d.smith@direct.davitaphysiciansolutions.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1992152284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062138",
            "telephone_number": "205-556-5541",
            "fax_number": "205-554-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062138",
            "telephone_number": "205-556-5541",
            "fax_number": "205-554-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARILYN",
        "middle_name": "DYER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-097380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.