Dr. Jeremiah Duane Smith
M.D. | Pediatric Emergency Medicine | Male
Dr. Jeremiah Duane Smith, M.D. is a Greenville, South Carolina based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Jeremiah Duane Smith is
701 Grove Rd, Greenville, South Carolina - 29605-4210. He can be contacted on phone at
864-455-7899 and fax number 864-455-5474.
Dr. Jeremiah Duane Smith is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jeremiah Duane Smith is
1982863270 which was assigned by NPPES on 03 Jun, 2008 and it was last updated on 16 May, 2022.
Dr. Jeremiah Duane Smith license number is
39280 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in South Carolina.
Dr. Jeremiah Duane Smith has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Jeremiah Duane Smith basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Jeremiah Duane Smith |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jeremiah Duane Smith address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 701 Grove Rd
Greenville, SC, 29605-4210
United States |
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| Phone Number : | 864-455-7899 |
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| Fax Number : | 864-455-5474 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1982863270 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Jun, 2008 |
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| Last Updated On : | 16 May, 2022 |
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Medicare Participation:
Dr. Jeremiah Duane Smith participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9931396132 |
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| Medicare Enrollment ID : | I20160809002037 |
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| Primary Specialty : | Emergency Medicine |
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| Medical School : | Southern Illinois University School Of Medicine |
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| Graduation Year : | 2007 |
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| Accepts Medicare? | Yes. Dr. Jeremiah Duane Smith accepts medicare insurance. |
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Group Practice Association:
Dr. Jeremiah Duane Smith is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jeremiah Duane Smith is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Prisma Health University Medical Group | 8325950983 | 2133 | 300 Scuffletown Rd
Simpsonville, SC - 296817204
Ph: 8643290029 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeremiah Duane Smith are as mentioned. Primary taxonomy code for Dr. Jeremiah Duane Smith, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 01068533A | IN |
| 208000000X | Pediatrics | No | 39280 | SC |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 39280 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jeremiah Duane Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 200996300 | MEDICAID | IN | |
| 392809 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
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| Phone Number : | 864-522-8603 |
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Business Location:
Patients can refer following map for directions to
Dr. Jeremiah Duane Smith practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.