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ALAN SMITH M.D. LLC
NPI 1194086124
Clinic/Center - Primary Care in St Petersburg, FL

Active since June 06, 2012CLIA 10D2040111 · Waiver
6500 1ST AVE N, ST PETERSBURG, FL 33710(727) 343-2741(727) 343-2814 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alan Smith M.d. Llc NPPES

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

ALAN SMITH M.D. LLC (NPI 1194086124), doing business as Pasadena Premier Health, is a healthcare organization registered as a primary care in St Petersburg, Florida and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Victoria Smith, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1194086124
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameALAN SMITH M.D. LLC
Location Address6500 1ST AVE NSt Petersburg, FL 33710-8404
Mailing Address6500 1st Ave NSt Petersburg, FL 33710-8404 · (727) 343-2741 · Fax (727) 343-2814
Phone(727) 343-2741
Fax(727) 343-2814
Organization SubpartNo
Authorized OfficialVictoria SmithPractice Manager · (727) 343-2741
Enumeration DateJune 6, 2012
Last NPPES UpdateMay 7, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1194086124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME0044988
6500 1ST AVE N, St Petersburg, FL 33710
Open in Google Maps ↗

Other Names 1

Doing Business AsPasadena Premier Health

Other Identifiers 1

Medicaid042850700FL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan Smith M.d. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Alan Smith M.D. LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jeremy Smith, MD
Internal Medicine
NPI 1265060644
6500 1ST AVE N
St Petersburg, FL 33710
(727) 343-2741
✔ PECOS✔ Accepts MedicareSame address
Alan Smith, MD
Family Practice
NPI 1821130972
1769 66TH ST. N
St Petersburg, FL 33710
(727) 343-2741
✔ PECOS1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2040111

Alan A Smith MD LLC · Saint Petersburg, FL
Active · expires Apr 23, 2028
CLIA Number10D2040111
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorAlan A. Smith
Laboratory Phone(727) 343-2741
Laboratory LocationAlan A Smith MD LLC6500 1st Ave N, Saint Petersburg, FL 33710
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Alan Smith M.D. LLC's NPI number?

The NPI number for Alan Smith M.D. LLC is 1194086124. It was assigned to this organization in the NPPES registry on June 6, 2012. The provider is doing business as Pasadena Premier Health.

Where is Alan Smith M.D. LLC located?

Alan Smith M.D. LLC is located at 6500 1st Ave N, St Petersburg, FL 33710. The listed phone number is (727) 343-2741.

What is Alan Smith M.D. LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Alan Smith M.D. LLC enrolled in Medicare?

Yes. Alan Smith M.D. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alan Smith M.D. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Alan Smith M.D. LLC, in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alan Smith M.D. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2040111) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alan Smith M.D. LLC was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.