Michael Smith (NPI# 1104898634, PAC ID# 6002931771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1104898634 |
| PAC ID by PECOS | 6002931771 |
| Professional Enrollment ID | I20100917001035 |
| Full Name | Michael Smith |
| Organization Legal Name | MT HOLLY FAMILY PRACTICE INC |
| Address |
305 W Catawba Ave Mt Holly NC 28120-1613 |
| Phone Number | 7048226200 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5193840866 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340032 | CAROMONT REGIONAL MEDICAL CENTER |
| 450580 | HOUSTON COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 305 W Catawba Ave, Mt Holly, NC 28120-1613 | 7048226200 | MT HOLLY FAMILY PRACTICE INC |
| Organization Legal Name | MT HOLLY FAMILY PRACTICE INC |
| Physicians | 1 |
| Street Address |
305 W CATAWBA AVE |
| City | MT HOLLY |
| State | NC |
| Zip | 28120-1613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory L Glass | Family Medicine | 125 W Catawba Ave, Mt Holly, NC 28120-1601 | |
| Joseph D Pinckney | Family Medicine | Riverbend Family Physicians | 215 S Main St, Mount Holly, NC 28120-1620 |
| John T Haney | Family Medicine | Riverbend Family Physicians | 215 S Main St, Mount Holly, NC 28120-1620 |
| Soraya Toosi | Family Medicine | Riverbend Family Physicians | 215 S Main St, Mount Holly, NC 28120-1620 |
| Rose M Williams | Physician Assistant | Riverbend Family Physicians | 215 S Main St, Mount Holly, NC 28120-1620 |
| Miranda Mcgahan | Family Medicine | Riverbend Family Physicians | 215 S Main St, Mount Holly, NC 28120-1620 |
| Emily T Philbeck | Nurse Practitioner | Riverbend Family Physicians | 215 S Main St, Mount Holly, NC 28120-1620 |
| Angela M Fox-putnam | Optometry | 612 S Main St, Mount Holly, NC 28120-1653 | |
| Michael Emmett | Optometry | 132 W Charlotte Ave, Mount Holly, NC 28120-1776 |
| City | MT HOLLY |
| Zip Code | 28120 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MT HOLLY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Michael 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.