EDDIE SMITH MD A PROF MED CORP
NPI 1558760785
Clinic/Center - Primary Care in Cut Off, LA
About Eddie Smith Md A Prof Med Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDDIE SMITH MD A PROF MED CORP (NPI 1558760785) is a healthcare organization registered as a primary care in Cut Off, Louisiana and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Rachael Angeron, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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 19D1022886
Eddie Smith, MD · Cut Off, LAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Eddie Smith MD A Prof Med Corp's NPI number?
The NPI number for Eddie Smith MD A Prof Med Corp is 1558760785. It was assigned to this organization in the NPPES registry on August 13, 2014.
Where is Eddie Smith MD A Prof Med Corp located?
Eddie Smith MD A Prof Med Corp is located at 103 Picciola Pkwy, Cut Off, LA 70345. The listed phone number is (985) 325-6226.
What is Eddie Smith MD A Prof Med Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Eddie Smith MD A Prof Med Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D1022886) is associated with this NPI, valid through March 2, 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 Eddie Smith MD A Prof Med Corp was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Eddie Smith Md A Prof Med Corp · NPI 1558760785
Primary Care organization in Cut Off, Louisiana. Organization record, active in the CMS NPPES registry since August 13, 2014.
## Identity
- **NPI:** 1558760785 (Entity type: Organization)
- **Enumerated:** August 13, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Rachael Angeron, OFFICE MANAGER
## Practice location
- **Address:** 103 PICCIOLA PKWY, Cut Off, LA 70345-3572
- **Phone:** (985) 325-6226
## Record status
- **NPPES last updated:** January 21, 2016
- **Other identifiers:** Medicare PIN 52453 (LA); Medicare UPIN B63877 (LA); Medicaid 1357464 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1558760785) · Data from the CMS NPPES public registry.