| Paul Grayson Smith Iii, DO | |
|
2121 N Ocoee St, Suite 101, Cleveland, TN 37311-3953 | |
| (423) 472-6548 | |
| (423) 472-8318 |
| Full Name | Paul Grayson Smith Iii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 2121 N Ocoee St, Cleveland, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669543807 | NPI | - | NPPES |
| FP62706 | Other | TN | WORKERS COMP |
| 3719099 | Medicaid | TN | |
| X86491 | Other | TN | HEALTH SPRING |
| 11715949 | Other | TN | CAQH |
| TN0101 | Other | TN | JOHN DEERE |
| 4155514 | Other | TN | BCBS OF TN |
| DO1806 | Other | TN | STATE LICENSE |
| 6635438 | Other | TN | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO1806 (Tennessee) | Primary |
| 207Q00000X | Family Medicine | OS9860 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paul Grayson Smith, Jr., D.o., P.c. | 5294754792 | 4 |
| Entity Name | Paul Grayson Smith, Jr., D.o., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952472185 PECOS PAC ID: 5294754792 Enrollment ID: O20051114001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Grayson Smith Iii, DO 525 Hunt Cliff Dr Nw, Cleveland, TN 37311-1642 Ph: (423) 903-8339 | Paul Grayson Smith Iii, DO 2121 N Ocoee St, Suite 101, Cleveland, TN 37311-3953 Ph: (423) 472-6548 |
Dr. William Augustus Hays, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312 Phone: 423-472-1511 Fax: 423-479-9202 | |
James R Bryan, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4625 N Lee Hwy, Cleveland, TN 37312 Phone: 423-624-2696 Fax: 423-697-2059 | |
Dr. Aaron Doss Samuel, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3178 Chestnut Cir Nw, Cleveland, TN 37312 Phone: 423-339-3524 | |
Michael L Noble, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 700 Paul Huff Pkwy Nw, Cleveland, TN 37312 Phone: 423-380-6400 | |
Dr. Paul Grayson Smith Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 N Ocoee St, Suite 101, Cleveland, TN 37311 Phone: 423-472-6548 Fax: 423-472-8318 | |
Dr. Dennis A. Thompson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312 Phone: 423-472-1511 Fax: 423-479-9202 | |
Elizabeth Daubner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 Dooley St Se, Cleveland, TN 37311 Phone: 423-728-7020 |