DR. PAUL GRAYSON SMITH JR. (NPI# 1215978747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215978747 |
| Entity Type | Individual |
| Full Name | DR. PAUL GRAYSON SMITH JR. |
| Credential | D.O. |
| Practice Address |
2121 N Ocoee St Suite 101 Cleveland TN 37311-3953 |
| Practice Telephone | 4234726548 |
| Practice Fax Number | 4234728318 |
| Mailing Telephone | 4234726548 |
| Mailing Fax Number | 4234728318 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS3710 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | DO256 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | UNITED HEALTHCARE | 0140208 | 01 |
| TN | CAQH | 10811010 | 01 |
| TN | BCBS OF TN | 2000307 | 01 |
| TN | JOHN DEERE HEALTH | TN0101 | 01 |
| TN | WORKER'S COMP | FP62706 | 01 |
| TN | 3719099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114555315 | Paul Smith | Counselor | 5180 Roswell Rd, Atlanta, GA 30342-2293 | 2020-04-01 |
| 1861982647 | Paul Smith | Physical Therapy Assistant | 314 S South St Ste 200, Mount Airy, NC 27030-4599 | 2018-05-16 |
| 1639675606 | Paul Robert Smith | Registered Nurse | 357 Pismo St Apt F, San Luis Obispo, CA 93401-6141 | 2018-03-30 |
| 1245694785 | Paul Smith | Hearing Instrument Specialist | 1275 E Pierce St, Council Bluffs, IA 51503-4748 | 2016-04-11 |
| 1639515364 | Paul Joseph Smith | Psychiatry & Neurology | 12520 High Bluff Dr Ste 135, San Diego, CA 92130 | 2013-05-21 |
| 1306112503 | Paul Smith | Rehabilitation Practitioner | 2941 E 94th Pl, Tulsa, OK 74137-8723 | 2012-04-02 |
| 1073804100 | Paul Anthony Smith | Physical Therapy Assistant | 4828 College Lake Dr, Florence, SC 29506-8900 | 2011-04-24 |
| 1942522529 | Paul Albert Smith | Physical Therapist | 330 Grandview Dr, Lander, WY 82520-2904 | 2010-02-23 |
| 1548495625 | Paul G Smith | Chiropractor | 8785 W Warm Springs Road, Suite 109, Las Vegas, NV 89148-1823 | 2009-05-19 |
| 1588812200 | Paul Corby Smith | Psychologist | 1163 10th St, Martin, MI 49070-9722 | 2008-09-06 |
| Street Address |
2121 N OCOEE ST SUITE 101 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210445 | Annie Leigh Jarnagin | Physician Assistant | 2121 N Ocoee St, Cleveland, TN 37311-3953 | 2019-11-26 |
| 1508930843 | Brian T Fretwell | Family Medicine | 2121 N Ocoee St, Suite 101, Cleveland, TN 37311-3953 | 2006-11-20 |
| 1952472185 | Paul Grayson Smith, Jr., D.o., P.C. | Family Medicine | 2121 N Ocoee St, Suite 101, Cleveland, TN 37311-3953 | 2006-11-10 |
| 1669543807 | Paul Grayson Smith IIi | Family Medicine | 2121 N Ocoee St, Suite 101, Cleveland, TN 37311-3953 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
| 1518429240 | Care Alliance | Family Medicine | 4050 Superior Ave Fl 3, Cleveland, OH 44103-1128 | 2019-04-02 |
| 1659808236 | Tara K Iyer | Family Medicine | Women's Health Institute 9500 Euclid Ave A81, Cleveland, OH 44195-0001 | 2017-05-15 |
| 1972958072 | Matthew Novin | Family Medicine | 15105 St Clair Ave, Cleveland, OH 44110-1111 | 2016-04-27 |
| 1235519166 | Michelle Caster | Family Medicine | 11100 Euclid Ave # B200, Cleveland, OH 44106 | 2015-06-05 |
| 1437545720 | Keisha Danielle Sullivan | Family Medicine | 11100 Euclid Ave Fl Bolwell6, Cleveland, OH 44106 | 2015-04-13 |
| 1356747679 | Rmi Holding Corporation, Inc | Family Medicine | 3854 Candies Creek Ln Nw, Cleveland, TN 37312-1863 | 2014-11-13 |
| 1326450123 | Anna Camille Moreno | Family Medicine | 9500 Euclid Ave # A1-854, Cleveland, OH 44195-1101 | 2014-05-28 |
| 1568874816 | Garrett L Kirkpatrick | Family Medicine | The Cleveland Clinic Foundation 9500 Euclid Ave, Cleveland, OH 44195-4420 | 2014-05-21 |
| 1104250448 | Aaron Doss Samuel | Family Medicine | 3178 Chestnut Cir Nw, Cleveland, TN 37312-2137 | 2013-08-22 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.