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THEODORE RAVENEL SMITH MD
NPI 1275587982
Family Medicine in Spartanburg, SC

Active since May 19, 2006
1690 SKYLYN DR STE 210, SPARTANBURG, SC 29307(864) 253-8170(864) 585-7787 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2020, Mar 14, 2019, Mar 1, 2019 (3 updates tracked since 2019).

About Theodore Ravenel Smith Md NPPES

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

THEODORE RAVENEL SMITH MD (NPI 1275587982) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (7493) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1275587982
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHEODORE RAVENEL SMITHCredential: MD
Location Address1690 SKYLYN DR STE 210Spartanburg, SC 29307-1075
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 253-8170
Fax(864) 585-7787
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateNovember 5, 20203 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1275587982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 7493
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1690 SKYLYN DR STE 210, Spartanburg, SC 29307
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Other Identifiers 5

OtherP00386787GA · Medicare Railroad Ptan#
OtherSCE4946084SC · Medicare Pin
Medicaid074939SC
OtherSCE4946067SC · Medicare Pin
OtherSCE494J577SC · Medicare Pin

Other Providers at the Same Location NPPES 6

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

SPARTANBURG MEDICAL CENTER
Family Medicine
1690 SKYLYN DR STE 210
SPARTANBURG, SC 29307
Spartanburg County (864) 253-8170
MS. DONNA-MARIE KOROMA MD
Family Medicine
1690 SKYLYN DR STE 210
SPARTANBURG, SC 29307
Spartanburg County (864) 253-8170
HENRY G. CUPSTID MD
Family Medicine
1690 SKYLYN DR STE 210
SPARTANBURG, SC 29307
Spartanburg County (864) 253-8170
CHARLOTTE MEDLOCK PATEL DO
Family Medicine
1690 SKYLYN DR STE 210
SPARTANBURG, SC 29307
Spartanburg County (864) 253-8170
MATTHEW JONATHAN EDWARDS MD
Family Medicine
1690 SKYLYN DR STE 210
SPARTANBURG, SC 29307
Spartanburg County (864) 253-8170
MARY BLACK HLTH SYS, LLC
Family Medicine
1690 SKYLYN DR STE 210
SPARTANBURG, SC 29307
Spartanburg County (864) 585-7887

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 Theodore Smith's NPI number?

The NPI number for Theodore Smith is 1275587982. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Theodore Smith located?

Theodore Smith practices at 1690 Skylyn Dr Ste 210, Spartanburg, SC 29307. The listed phone number is (864) 253-8170.

What is Theodore Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Theodore Smith was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.