DR. MERVYN P. SMITH JR. MD
NPI 1306868575
Internal Medicine - Cardiovascular Disease in Jackson, MS

Active since July 24, 2006
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGY, JACKSON, MS 39216(601) 984-5630 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mervyn P. Smith Jr. Md NPPES

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

DR. MERVYN P. SMITH JR. MD (NPI 1306868575) is an individual cardiovascular disease provider in Jackson, Mississippi, licensed in Mississippi (07057) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1306868575
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MERVYN P. SMITH JR.Credential: MD
Location Address2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGYJackson, MS 39216-4500
Mailing AddressPo Box 24146, University Physicians PllcJackson, MS 39225-4146 · (601) 984-5678 · Fax (601) 984-5638
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateMarch 18, 2009
NPI 1306868575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MS · 07057
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2500 NORTH STATE STREET, Jackson, MS 39216

Other Identifiers 6

OtherP00462325MS · Railroad Medicare Ptan
Medicaid01279231MS
Medicare ID-Type Unspecified060000812MS
Medicare UPINB30168MS
Medicare PIN512I060001MS
Medicaid1627861LA

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216
Nurse Practitioner (Critical Care Medicine)
2500 NORTH STATE STREET
JACKSON, MS 39216
Internal Medicine (Geriatric Medicine)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216
Pediatrics
2500 NORTH STATE STREET, UMMC NEONATOLOGY
JACKSON, MS 39216
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216
Nurse Practitioner (Psychiatric/Mental Health)
2500 NORTH STATE STREET
JACKSON, MS 39216
Internal Medicine (Cardiovascular Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216

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 Mervyn Smith's NPI number?

The NPI number for Mervyn Smith is 1306868575. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Mervyn Smith located?

Mervyn Smith practices at 2500 North State Street Department Of Medicine/Division Of Cardiology, Jackson, MS 39216. The listed phone number is (601) 984-5630.

What is Mervyn Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Mervyn Smith was last updated on March 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.