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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010100 | THOMAS HOSPITAL |
Address | Phone | Organization |
---|---|---|
27961 Us Hwy 98, Suite 14, Daphne, AL 36526-4725 | 2516261175 | IMC-EASTERN SHORE FAMILY PRACTICE LLC |
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 Legal Name | IMC-EASTERN SHORE FAMILY PRACTICE LLC |
Physicians | 4 |
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 |
Street Address |
27961 US HWY 98 SUITE 14 |
City | DAPHNE |
State | AL |
Zip | 36526-4725 |
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 |
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 |
City | DAPHNE |
Zip Code | 36526 |
Specialty | FAMILY MEDICINE |
City + Specialty | DAPHNE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Andrew Augustus Smith.
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.