| Dr Judson Wayne Smith, MD | |
|
801 20th Ave E, Jasper, AL 35501-4070 | |
| (205) 384-0311 | |
| Not Available |
| Full Name | Dr Judson Wayne Smith |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 801 20th Ave E, Jasper, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720037450 | NPI | - | NPPES |
| 000030949 | Medicaid | AL | |
| 009909535 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00018308 (Alabama) | Primary |
| 207V00000X | Obstetrics & Gynecology | 00018308 (Alabama) | Secondary |
| 208000000X | Pediatrics | 00018308 (Alabama) | Secondary |
| Entity Name | Baptist Health Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265496236 PECOS PAC ID: 3476457011 Enrollment ID: O20180124001442 |
| Entity Name | Sunshine Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952067175 PECOS PAC ID: 5496140220 Enrollment ID: O20220315000329 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Judson Wayne Smith, MD 801 20th Ave E, Jasper, AL 35501-4070 Ph: (205) 384-0311 | Dr Judson Wayne Smith, MD 801 20th Ave E, Jasper, AL 35501-4070 Ph: (205) 384-0311 |
Donald Ray Ashley Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Birmingham Ave, Jasper, AL 35501 Phone: 205-384-4458 Fax: 205-384-4428 | |
Dr. Evelyn Ann Leonard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 801 20th Ave E, Jasper, AL 35501 Phone: 205-384-0311 | |
Jane Herald, Family Medicine Medicare: Medicare Enrolled Practice Location: 2201 N Airport Rd, Jasper, AL 35504 Phone: 205-221-9351 | |
Dr. Scott Hull Boswell, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 2905 Long Ridge Dr, Jasper, AL 35504 Phone: 205-275-9075 | |
Jeremy Ty Blackwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Jones Dairy Road, Bldg 900, Jasper, AL 35501 Phone: 205-387-8159 Fax: 205-387-8262 | |
Dr. Yu-yong Tai, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 Viking Dr, Jasper, AL 35501 Phone: 205-221-5714 Fax: 205-221-5445 | |
Dr. Daniel Kirk Mcdonald, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Birmingham Ave, Jasper, AL 35501 Phone: 205-384-4585 Fax: 205-384-4428 |