Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. PRENTISS LEE SMITH SR. MD
NPI 1164412722
Radiology - Diagnostic Radiology in Brookhaven, MS

Active since October 25, 2005
108 LANCE ALWORTH DR, BROOKHAVEN, MS 39601(601) 833-8511(601) 835-5413 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Prentiss Lee Smith Sr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PRENTISS LEE SMITH SR. MD (NPI 1164412722) is an individual diagnostic radiology provider in Brookhaven, Mississippi, licensed in Mississippi (06251) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1164412722
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMR. PRENTISS LEE SMITH SR.Credential: MD
Location Address108 LANCE ALWORTH DRBrookhaven, MS 39601-2300
Mailing AddressPo Box 764Brookhaven, MS 39602-0764 · (601) 833-8511 · Fax (601) 835-5413
Fax(601) 835-5413
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1164412722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MS · 06251
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

108 LANCE ALWORTH DR, Brookhaven, MS 39601

Other Identifiers 1

Medicaid0016651MS

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
108 LANCE ALWORTH DR
BROOKHAVEN, MS 39601
Radiology (Diagnostic Radiology)
108 LANCE ALWORTH DR
BROOKHAVEN, MS 39601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prentiss Smith's NPI number?

The NPI number for Prentiss Smith is 1164412722. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Prentiss Smith located?

Prentiss Smith practices at 108 Lance Alworth Dr, Brookhaven, MS 39601. The listed phone number is (601) 833-8511.

What is Prentiss Smith's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Prentiss Smith was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.