Organization Active NPI

Smith County Family Practice, PC

  • Family Medicine Physician
  • Carthage, TN
National Provider Identifier
1992761548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37791 Issued in TN
Legal business name
SMITH COUNTY FAMILY PRACTICE, PC
Practice address
131 Hospital Dr
Suite 1000
Carthage, TN 37030-4017
Phone
(615) 735-3993
Fax
(615) 735-3693
NPI assigned
Apr 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith Regen Hill, MDNPI 1619945292
Title
Physician/President
Phone
(615) 735-3993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 37791 TN Primary

Addresses

Primary practice location

131 Hospital Dr
Suite 1000
Carthage, TN 37030-4017

Mailing address

131 Hospital Dr
Suite 1000
Carthage, TN 37030-4017
Phone (615) 735-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108002989 TN Part B Supplier - Clinic/Group Practice 9638504277 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesboro, TN; Monterey, TN

National Provider Directory

National Provider Directory

Locations

131 Hospital Dr W
Ste 1000
Carthage, TN 37030
Phone (615) 735-8070

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": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992761548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HOSPITAL DR",
            "address_2": "SUITE 1000",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370304017",
            "telephone_number": "615-735-3993",
            "fax_number": "615-735-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HOSPITAL DR",
            "address_2": "SUITE 1000",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370304017",
            "telephone_number": "615-735-3993",
            "fax_number": "615-735-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH COUNTY FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "REGEN",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "615-735-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "37791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.