Andrew Augustus Smith
IMC-EASTERN SHORE FAMILY PRACTICE LLC


Address: 27961 Us Hwy 98, Suite 14, Daphne, AL 36526-4725
Phone: 2516261175

Andrew Augustus Smith (NPI# 1104892124, PAC ID# 0345428330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1104892124
PAC ID by PECOS 0345428330
Professional Enrollment ID I20111121000703
Full Name Andrew Augustus Smith
Organization Legal Name IMC-EASTERN SHORE FAMILY PRACTICE LLC
Address 27961 Us Hwy 98
Suite 14
Daphne
AL 36526-4725
Phone Number 2516261175
Gender M
Medical School WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 7315218450
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
010100 THOMAS HOSPITAL

Other Locations

Address Phone Organization
27961 Us Hwy 98, Suite 14, Daphne, AL 36526-4725 2516261175 IMC-EASTERN SHORE FAMILY PRACTICE LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 61%
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 61%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 70%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 70%
MIPS_EC_113_overall Colorectal Cancer Screening 40%
MIPS_EC_113_overall Colorectal Cancer Screening 40%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 94%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 94%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_134_overall Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan 8%
MIPS_EC_134_overall Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan 8%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98%

Organization Information

Organization Legal Name IMC-EASTERN SHORE FAMILY PRACTICE LLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
David Johnson Family Medicine Imc-eastern Shore Family Practice LLC 27961 Us Hwy 98, Suite 14, Daphne, AL 36526-4725
Amy Elizabeth Kayl Family Medicine Imc-eastern Shore Family Practice LLC 27961 Us Hwy 98, Suite 14, Daphne, AL 36526-4725
Ross Bishop Family Medicine Imc-eastern Shore Family Practice LLC 27961 Us Hwy 98, Suite 14, Daphne, AL 36526-4725

Office Location

Street Address 27961 US HWY 98
SUITE 14
City DAPHNE
State AL
Zip 36526-4725

Physicians in the same location

Name Specialty Organization Address
David Johnson Family Medicine Imc-eastern Shore Family Practice LLC 27961 Us Hwy 98, Suite 14, Daphne, AL 36526-4725
Amanda Woods Robinson Family Medicine S and K PC 27961 Us Hwy 98, Suite 20, Daphne, AL 36526-4725
Andrew G Freeman Family Medicine S and K PC 27961 Us Hwy 98, Suite 20, Daphne, AL 36526-4725
Benjamin P Schrubbe Family Medicine S and K PC 27961 Us Hwy 98, Suite 20, Daphne, AL 36526-4725
Laura Harris Thompson Family Medicine S and K PC 27961 Us Hwy 98, Suite 20, Daphne, AL 36526-4725
Laura K Hollensworth Family Medicine S and K PC 27961 Us Hwy 98, Suite 20, Daphne, AL 36526-4725
Leon D Mclaughlin Family Medicine S and K PC 27961 Us Hwy 98, Suite 20, Daphne, AL 36526-4725
Charles Edward Kirkland Ii Family Medicine S and K PC 27961 Us Hwy 98, Suite 20, Daphne, AL 36526-4725
Carole S Jones Certified Registered Nurse Anesthetist (crna) Eastern Shore Anesthesia, P.C. 27961 Us Hwy 98, Daphne, AL 36526-4702
Amy Elizabeth Kayl Family Medicine Imc-eastern Shore Family Practice LLC 27961 Us Hwy 98, Suite 14, Daphne, AL 36526-4725
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Vernon L Hermecz Emergency Medicine Urgent Care By The Bay, LLC 1208 Us Hwy 98, Daphne, AL 36526-4254
Kristin Bernice Kalmbacher Family Medicine Urgent Care By The Bay, LLC 1208 Us Hwy 98, Daphne, AL 36526-4254
John C Jacobs V Emergency Medicine Urgent Care By The Bay, LLC 1208 Us Hwy 98, Daphne, AL 36526-4254
Edward Simms Emergency Medicine Urgent Care By The Bay, LLC 1208 Us Hwy 98, Daphne, AL 36526-4254
Alan J Babcock Emergency Medicine Urgent Care By The Bay, LLC 1208 Us Hwy 98, Daphne, AL 36526-4254
Michael O Stodard Family Medicine Urgent Care By The Bay, LLC 1208 Us Hwy 98, Daphne, AL 36526-4254
Michael J Bindon Emergency Medicine Urgent Care By The Bay, LLC 1208 Us Hwy 98, Daphne, AL 36526-4254
Thomas Chad Vanderheyden Emergency Medicine Urgent Care By The Bay, LLC 1208 Us Hwy 98, Daphne, AL 36526-4254
Cynthia S Harbaugh Family Practice Urgent Care By The Bay, LLC 1208 Us Hwy 98, Daphne, AL 36526-4254
Todd Kilpatrick Physical Therapy Bishop Physical Therapy LLC 1203 Us Hwy 98, Suite 1 C, Daphne, AL 36526-4255
Find all physicians in zip 36526

Competitor

Search similar physicians

City DAPHNE
Zip Code 36526
Specialty FAMILY MEDICINE
City + Specialty DAPHNE + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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