GREGORY D. SMITH NPI 1477703619

NPI Information

  • NPI: 1477703619
  • Provider Name: GREGORY D. SMITH
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 2412 RING RD STE 200
    ELIZABETHTOWN, KY
    ZIP 42701
  • Phone: (270) 765-5926

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NPI Details

GREGORY D. SMITH is an addiction medicine family medicine in Elizabethtown, KY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. GREGORY D. SMITH NPI is 1477703619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2412 RING RD STE 200
ELIZABETHTOWN, KY
ZIP 42701-913
Phone: (270) 765-5926
Fax: (270) 763-0051

The provider's authorized official is Gregory D. Smith .
The authorized official title is Owner and has the following contact phone number (270) 765-5926.

The enumeration date for this NPI number is 9/24/2008 and was last updated on 10/21/2014.

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
1363LF0000XNurse PractitionerFamily3007523KENTUCKYNo
2207QA0401XFamily MedicineAddiction Medicine38746KENTUCKYYes

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
11968001MEDICARE PINKENTUCKY
2E87886MEDICARE UPINKENTUCKY
364087711MEDICAIDKENTUCKY

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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