Individual provider
PHILLIP SMITH
CMS NPPES lists PHILLIP SMITH as an individual provider record with NPI 1619243540. The current record reports a primary practice location in ACKERMAN, MS and primary taxonomy code 332B00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location9093 HIGHWAY 15ACKERMAN, MS 39735
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
332B00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- March 26, 2012
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.