DR. ROOSEVELT J SMITH
NPI 1235235680
Chiropractor - Sports Physician in Greensboro, NC

Q: What is Roosevelt Smith's NPI number?

The NPI number for Roosevelt Smith is 1235235680. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Roosevelt Smith's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Roosevelt Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since September 15, 2006Accepts Medicare Assignment

4518-A WEST MARKET ST, GREENSBORO, NC 27407(336) 235-4022(336) 235-4023 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Roosevelt J Smith NPPES

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

DR. ROOSEVELT J SMITH (NPI 1235235680) is an individual sports physician in Greensboro, North Carolina, licensed in North Carolina (2930) and active in the NPI registry since September 2006. He is a graduate of Life Chiropractic College (2000).

NPPES Registry Identity

NPI1235235680

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. ROOSEVELT J SMITH

Location Address4518-A WEST MARKET STGreensboro, NC 27407

Mailing Address4518-a West Market StGreensboro, NC 27407 · (336) 235-4022 · Fax (336) 235-4023

Phone(336) 235-4022

Fax(336) 235-4023

Sole ProprietorNo

Medical School CMSLife Chiropractic CollegeGraduated 2000

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1235235680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in NC · 2930

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

4518-A WEST MARKET ST, Greensboro, NC 27407

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Other Identifiers 3

Medicare UPINU83A15

Medicaid89085AMNC

Medicare ID-Type Unspecified2454155

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roosevelt J Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365406345

PECOS Enrollment IDI20041118000853

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 Roosevelt Smith's NPI number?

The NPI number for Roosevelt Smith is 1235235680. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Roosevelt Smith located?

Roosevelt Smith practices at 4518-A West Market St, Greensboro, NC 27407. The listed phone number is (336) 235-4022.

What is Roosevelt Smith's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Roosevelt Smith enrolled in Medicare?

Yes. Roosevelt Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Roosevelt Smith accept?

Health plans from Blue Cross and Blue Shield of NC list Roosevelt Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roosevelt Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.