DR. MCCRAE SIDNEY SMITH MD NPI 1295779619

NPI Information

  • NPI: 1295779619
  • Provider Name: DR. MCCRAE SIDNEY SMITH, MD
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 628 GREEN VALLEY RD
    SUITE 210
    GREENSBORO, NC
    ZIP 27408
  • Phone: (336) 478-1016

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NPI Details

DR. Mccrae Sidney Smith, MD is a neonatal-perinatal medicine pediatrics in Greensboro, NC. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Mccrae Sidney Smith, MD NPI is 1295779619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

628 GREEN VALLEY RD
SUITE 210
GREENSBORO, NC
ZIP 27408-730
Phone: (336) 478-1016
Fax: (336) 851-1737

The NPI 1295779619 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 enumeration date for this NPI number is 6/15/2006 and was last updated on 12/14/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics31102NORTH CAROLINANo
22080N0001XPediatricsNeonatal-Perinatal Medicine31102NORTH 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
142911OTHERNORTH CAROLINAMEDCOST
277973OTHERNORTH CAROLINABCBS NC
34336735OTHERNORTH CAROLINAAETNA
48977973MEDICAIDNORTH CAROLINA
5E39713MEDICARE UPIN

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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