Dr. Jeremiah Duane Smith

M.D. | Pediatric Emergency Medicine | Male

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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
Provider Name :	Dr. Jeremiah Duane Smith
Credential :	M.D.
Gender :	Male

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
Phone Number :	864-455-7899
Fax Number :	864-455-5474

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
NPI Entity Type :	Individual
First Enrolment Date :	03 Jun, 2008
Last Updated On :	16 May, 2022

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
Medicare Enrollment ID :	I20160809002037
Primary Specialty :	Emergency Medicine
Medical School :	Southern Illinois University School Of Medicine
Graduation Year :	2007
Accepts Medicare?	Yes. Dr. Jeremiah Duane Smith accepts medicare insurance.

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
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
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
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
Phone Number :	864-522-8603

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. Last updated on 08 January, 2024.