Audrey Marcelle Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD028569 Issued in TN

Practice address

4409 Central Avenue Pike # 102103
Knoxville, TN 37912-4081

Phone

(865) 378-6929

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Addiction MedicineAlso: Family Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Recover Together, Inc.

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758

  Family Medicine, TN

  Medicare reassignment Care Compare group NPD
• Afc Physicians of Tennessee, PC

  • Primary Care Clinic/Center
  • Chattanooga, TN
  • NPI 1114234523
  Medicare reassignment NPD
• Afc Physicians of Tennessee, PC

  • General Practice Physician
  • Knoxville, TN
  • NPI 1649647249

  Family Medicine

  NPD
• TN Premier Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Kodak, TN
  • NPI 1144719808
  NPD
• TN Premier Care LLC

  • Pain Clinic/Center
  • Kodak, TN
  • NPI 1487081758
  NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1992818975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SPRING PASS WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379199044",
            "telephone_number": "865-414-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 CENTRAL AVENUE PIKE # 102103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124081",
            "telephone_number": "865-378-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 Downtown West Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195408",
            "country_code": "US",
            "telephone_number": "865-357-8861",
            "fax_number": "865-357-8869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUDREY",
        "middle_name": "MARCELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD028569",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TN",
            "license": "MD028569",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD028569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3809604",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Breana Smith
• Ann Arnett Smith
• Anna Marija Smith, APRN-BC
• Arthur A Smith, M.D.
• Ashley Jean Smith
• Barton Blazer Smith, COTA/L
• Bradford Smith, M.D.
• Brandi D Smith
• Brandon Allen Smith
• Brenda G Smith, NP

• Family Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.