NPI Information

  • NPI: 1003874892
  • Provider Name: CHARLIE DORN SMITH, MD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2322 BURNT BRANCH RD
    LAKE CITY, SC
    ZIP 29560
  • Phone: (843) 687-0153

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NPI Details

Charlie Dorn Smith, MD is a thoracic surgery cardiothoracic vascular surgery in Lake City, SC with 41 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Charlie Dorn Smith, MD NPI is 1003874892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

2322 BURNT BRANCH RD
LAKE CITY, SC
ZIP 29560-910
Phone: (843) 687-0153
Fax: (843) 673-9457

The NPI 1003874892 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/2/2006 and was last updated on 12/15/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)2023-01615NORTH CAROLINANo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)13042SOUTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11679530968OTHERSOUTH CAROLINAGROUP NPI
2130423MEDICAIDSOUTH CAROLINA
37937OTHERSOUTH CAROLINAMEDICARE GROUP NUMBER

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: 11/21/2025

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