DR. DANTWAN SHAWNTEL SMITH MD
NPI 1659866895
Internal Medicine - Cardiovascular Disease in Jackson, MS

Active since June 29, 2018PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2021, Jun 29, 2018 (2 updates tracked since 2018).

About Dr. Dantwan Shawntel Smith Md NPPES

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

DR. DANTWAN SHAWNTEL SMITH MD (NPI 1659866895) is an individual cardiovascular disease provider in Jackson, Mississippi, licensed in Mississippi (T-3672) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Bmh-golden Triangle, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659866895
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. DANTWAN SHAWNTEL SMITHCredential: MD
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address270 August DrBrandon, MS 39042-8473 · (662) 251-9129
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 29, 2018
Last NPPES UpdateJune 28, 20212 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
NPI 1659866895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MS · T-3672
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License T-3672 (MS)
2500 N STATE ST, Jackson, MS 39216

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dantwan Shawntel Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729486477
PECOS Enrollment IDI20260414001649
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bmh-Golden Triangle

Acute Care Hospitals · Columbus, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250100
Location2520 5th Street NColumbus, MS 39705 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
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 Dantwan Smith's NPI number?

The NPI number for Dantwan Smith is 1659866895. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Dantwan Smith located?

Dantwan Smith practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Dantwan Smith's specialty?

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

Is Dantwan Smith enrolled in Medicare?

Yes. Dantwan Smith is registered in the Medicare PECOS enrollment system.

Is Dantwan Smith affiliated with any hospitals?

According to CMS data, Dantwan Smith is affiliated with Bmh-Golden Triangle.

When was this NPI record last updated?

The NPPES record for Dantwan Smith was last updated on June 28, 2021. 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.