DR. BERT JACKSON SMITH M.D.
NPI 1497839070
Internal Medicine in Johnson City, TN
About Dr. Bert Jackson Smith M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BERT JACKSON SMITH M.D. (NPI 1497839070) is an individual internal medicine provider in Johnson City, Tennessee, licensed in Virginia (0101256885) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Bert Jackson Smith M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Bert Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Johnson City, TN 37601
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: Blue Ridge Medical Management Corporation
- 496 clinicians in this Medicare group
Johnson City, TN 37601
- Reassigned Medicare billing, South Carolina, Tennessee and Virginia enrollments
- 12 clinicians in this Medicare group
Johnson City, TN 37601
- Reassigned Medicare billing, Georgia, South Carolina, Tennessee and Virginia enrollments
- 10 clinicians in this Medicare group
Fort Oglethorpe, GA 30742
- Reassigned Medicare billing, Georgia enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Bert Smith's NPI number?
The NPI number for Bert Smith is 1497839070. It was assigned to this individual provider in the NPPES registry on October 24, 2006.
Where is Bert Smith located?
Bert Smith practices at 2717 E. Oakland Avenue, Johnson City, TN 37601. The listed phone number is (423) 926-2358.
What is Bert Smith's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Bert Smith enrolled in Medicare?
Yes. Bert 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.
Which organizations bill Medicare for Bert Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bert Smith reassigns Medicare benefits to 4 organizations: Blue Ridge Medical Management Corpoartion (Johnson City, TN), Integrated Health Transitions, PLLC (Johnson City, TN), Renuven Aco PLLC (Johnson City, TN) and Renuven Health Partners Of Georgia PC (Fort Oglethorpe, GA). Each 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 Bert Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bert Smith accept?
Health plans from Cigna Healthcare and Oscar Insurance Company list Bert 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 Bert Smith was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Bert Jackson Smith, M.D. · NPI 1497839070
Internal Medicine physician in Johnson City, Tennessee. Individual provider, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1497839070 (Entity type: Individual)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101256885 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2717 E. OAKLAND AVENUE, Johnson City, TN 37601
- **Phone:** (423) 926-2358 · **Fax:** (276) 258-4056
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Blue Ridge Medical Management Corpoartion (NPI 1225778780, Johnson City, TN); Integrated Health Transitions, PLLC (NPI 1922463470, Johnson City, TN); Renuven Aco PLLC (NPI 1568209872, Johnson City, TN); Renuven Health Partners Of Georgia PC (NPI 1871196519, Fort Oglethorpe, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** East Tennessee State University Quillen College Of Medicine, class of 2004
## Record status
- **NPPES last updated:** June 4, 2024
- **Other identifiers:** Medicaid 1506626 (TN); Medicaid 7100075230 (KY); Medicaid 1506627 (TN); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1497839070) · Data from the CMS NPPES public registry.