DE'ANGELO SHAQUILLE RAESHUN SMOTHERSON MD
NPI 1649915356
Emergency Medicine in Chattanooga, TN

Active since April 28, 2022PECOS EnrolledAccepts Medicare Assignment
975 E 3RD ST, CHATTANOOGA, TN 37403(423) 778-7628 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2025, Dec 8, 2024, Apr 28, 2022 (3 updates tracked since 2022).

About De'angelo Shaquille Raeshun Smotherson Md NPPES

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

DE'ANGELO SHAQUILLE RAESHUN SMOTHERSON MD (NPI 1649915356) is an individual emergency medicine provider in Chattanooga, Tennessee, licensed in Tennessee (72145) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2022).

NPPES Registry Identity

NPI1649915356
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDE'ANGELO SHAQUILLE RAESHUN SMOTHERSONCredential: MD
Location Address975 E 3RD STChattanooga, TN 37403-2173
Mailing Address16931 Rankin Ave # 100Dunlap, TN 37327-7029
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2022
Enumeration DateApril 28, 2022
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
NPI 1649915356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TN · 72145
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
975 E 3RD ST, Chattanooga, TN 37403

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

De'angelo Shaquille Raeshun Smotherson Md 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 ID5799162756
PECOS Enrollment IDI20250113000019
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Anesthetist, Certified Registered
975 E 3RD ST
CHATTANOOGA, TN 37403
Internal Medicine (Hematology & Oncology)
975 E 3RD ST, ERLINGER MEDICAL CENTER
CHATTANOOGA, TN 37403
Hospitalist
975 E 3RD ST
CHATTANOOGA, TN 37403
Psychiatry & Neurology (Psychiatry)
975 E 3RD ST
CHATTANOOGA, TN 37403
Internal Medicine
975 E 3RD ST
CHATTANOOGA, TN 37403
Nurse Anesthetist, Certified Registered
975 E 3RD ST
CHATTANOOGA, TN 37403
Social Worker (Clinical)
975 E 3RD ST
CHATTANOOGA, TN 37403
Anesthesiology
975 E 3RD ST
CHATTANOOGA, TN 37403

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 De'angelo Smotherson's NPI number?

The NPI number for De'angelo Smotherson is 1649915356. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is De'angelo Smotherson located?

De'angelo Smotherson practices at 975 E 3rd St, Chattanooga, TN 37403. The listed phone number is (423) 778-7628.

What is De'angelo Smotherson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is De'angelo Smotherson enrolled in Medicare?

Yes. De'angelo Smotherson 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.

When was this NPI record last updated?

The NPPES record for De'angelo Smotherson was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.