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CAROL ANN SMITH M.D. NPI 1639253537


NPI Information

NPI: 1639253537
Provider Name: CAROL ANN SMITH, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4500 13TH ST
GULFPORT, MS
ZIP 39501
Phone: (228) 865-3151
Get Directions

Carol Ann Smith, M.D. is an emergency medicine in Gulfport, MS. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Carol Ann Smith, M.D. NPI is 1639253537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 13TH ST
GULFPORT, MS
ZIP 39501-515
Phone: (228) 865-3151
Fax: (228) 867-4124

The NPI 1639253537 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 6/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine07055MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1512I930503MEDICARE PINMISSISSIPPI
200012871MEDICAIDMISSISSIPPI
3$$$$$$$$$DOTHERMISSISSIPPIBCBS
4D73569MEDICARE UPINMISSISSIPPI
51639253537MEDICAIDMISSOURI
6147480020MEDICARE PINMISSOURI
7930264377MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
8$$$$$$$$$MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.