Active NPI
Marilyn Dyer Smith
- Family Nurse Practitioner
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-097380
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1850 McFarland Blvd N
Tuscaloosa, AL 35406-2138
Phone (205) 556-5541
Hospital & facility affiliations
- DCH Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuscaloosa Nephrology Associates PC | Current | Accepting new patients | |
| Pickens County Primary Care, P.C | Current | Accepting new patients | |
| Pickens County Primary Care, P.C | Current | Accepting new patients | |
| Pickens County Primary Care, PC | Current | Accepting new patients | |
| Pickens County Primary Care PC | Current | 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
- 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.
-
- Nephrology Physician
- Tuscaloosa, AL
- NPI 1215020318
-
- Family Medicine Physician
- Reform, AL
- NPI 1629491451
-
- Rural Health Clinic/Center
- Gordo, AL
- NPI 1063988806
-
- Rural Health Clinic/Center
- Reform, AL
- NPI 1508332446
-
- Rural Health Clinic/Center
- Gordo, AL
- NPI 1295421667
-
- Family Medicine Physician
- Columbus, MS
- NPI 1639681976
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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; 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.