Nicholas B Smith (NPI# 1194777953, PAC ID# 4284733825) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194777953 |
| PAC ID by PECOS | 4284733825 |
| Professional Enrollment ID | I20091028000032 |
| Full Name | Nicholas B Smith |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Address |
4600 Fort Henry Dr Kingsport TN 37663-2617 |
| Phone Number | 4232243950 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739099441 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440176 | INDIAN PATH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4600 Fort Henry Dr, Kingsport, TN 37663-2617 | 4232243950 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deneene R Booth | Anesthesiology | Blue Ridge Medical Management Corporation | 601 Campus Dr, Abingdon, VA 24210-9700 |
| Shasta Nicole Bowens | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 |
| Luc Jasmin | Neurosurgery | Blue Ridge Medical Management Corporation | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 |
| Sandra Michelle Sparks | Nurse Practitioner | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 |
| Rebecca Sacora | Family Medicine | Blue Ridge Medical Management Corporation | 2030 Temple Hill Rd, Suite B, Erwin, TN 37650-8721 |
| Leslie Renee Barlow | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1201 Snider St, Marion, VA 24354-4221 |
| Sheila Ann Matherly | Nurse Practitioner | Blue Ridge Medical Management Corporation | 404 Bemberg Rd, Elizabethton, TN 37643-2938 |
| Melanie Hagerman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2 Professional Park Dr, Suite 11, Johnson City, TN 37604-6584 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Amanda Elizabeth Loughlin | Nurse Practitioner | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266 |
| Street Address |
4600 FORT HENRY DR |
| City | KINGSPORT |
| State | TN |
| Zip | 37663-2617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph F Amato | Chiropractic | 4012 Forth Henry Dr, Kingsport, TN 37663 | |
| Ben A Alig | Optometry | 4260 Fort Henry Dr, Suite 16, Kingsport, TN 37663-2248 | |
| Gregory C Russell | Optometry | 102 Professional Park Pvt Dr, Kingsport, TN 37663-2287 | |
| Amanda Malone | Nurse Practitioner | Mountain Region Family Medicine P C | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 |
| Monna J. Nelms | Nurse Practitioner | Mountain Region Family Medicine P C | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 |
| Cassie Jeanette Meadows | Nurse Practitioner | Trinity Medical Services | 106 Ferrell Ave, Suite 5, Kingsport, TN 37663-2371 |
| Dewayne S Steffey | Nurse Practitioner | Trinity Medical Services | 106 Ferrell Ave, Suite 5, Kingsport, TN 37663-2371 |
| William P Mcmillin | Optometry | Mac2 Pllc | 4617 Fort Henry Dr, Kingsport, TN 37663-2616 |
| William C Mcmillin | Optometry | Mac2 Pllc | 4617 Fort Henry Dr, Kingsport, TN 37663-2616 |
| Mary C Axelrad | Family Medicine | Holston Medical Group PC | 4848 Fort Henry Dr, Kingsport, TN 37663-3347 |
| Find all physicians in zip 37663 | |||
| City | KINGSPORT |
| Zip Code | 37663 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KINGSPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nicholas B 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.