ANDREA L. SMITH MD
NPI 1679714091
Internal Medicine in Clarksdale, MS

Active since March 14, 2009
785 OHIO AVE, SUITE 1D, CLARKSDALE, MS 38614(662) 624-5485(662) 624-8890 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Internal Medicine

About ANDREA L. SMITH MD

This page provides the complete NPI Profile along with additional information for Andrea L. Smith Md, an internist established in Clarksdale, Mississippi operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1679714091 assigned on March 2009. The practitioner's primary taxonomy code is 207R00000X with license number 09185 (MS). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Andrea L Smith M.d. (Owner)

NPI
1679714091 Verify this NPI
Provider Name
ANDREA L. SMITH MD
Entity Type
Organization
Location Address
785 OHIO AVE SUITE 1D CLARKSDALE, MS 38614
Location Phone
(662) 624-5485
Location Fax
(662) 624-8890
Mailing Address
785 OHIO AVE SUITE 1D CLARKSDALE, MS 38614
Mailing Phone
(662) 624-5485
Mailing Fax
(662) 624-8890
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2009
Last Update Date
05-01-2009
Code Navigator

An internist like Andrea L. Smith Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
09185
License State
MS
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ANDREA L SMITH M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(662) 624-5485

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
05512228MEDICAID (05)MS 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
785 OHIO AVE, SUITE 1B
CLARKSDALE, MS 38614
Nurse Practitioner (Family)
785 OHIO AVE, SUITE 1D
CLARKSDALE, MS 38614
Dietitian, Registered
785 OHIO AVE, SUITE 2F
CLARKSDALE, MS 38614
Dietitian, Registered
785 OHIO AVE, SUITE 2F
CLARKSDALE, MS 38614
Psychiatry & Neurology (Neurology)
785 OHIO AVE, SUITE 2C
CLARKSDALE, MS 38614
Nurse Practitioner (Family)
785 OHIO AVE, SUITE 1D
CLARKSDALE, MS 38614
Clinic/Center (Medical Specialty)
785 OHIO AVE, SUITE 2C
CLARKSDALE, MS 38614
Urology
785 OHIO AVE, SUITE 3E
CLARKSDALE, MS 38614
Specialist/Technologist (Athletic Trainer)
785 OHIO AVE, SUITE 1H
CLARKSDALE, MS 38614
Psychiatry & Neurology (Neurology)
785 OHIO AVE, STE 2C
CLARKSDALE, MS 38614
Orthopaedic Surgery
785 OHIO AVE, SUITE 1H
CLARKSDALE, MS 38614
Specialist/Technologist (Athletic Trainer)
785 OHIO AVE, SUITE 1H
CLARKSDALE, MS 38614
Internal Medicine
785 OHIO AVE, SUITE 3G
CLARKSDALE, MS 38614
Nurse Practitioner
785 OHIO AVE, STE 2G
CLARKSDALE, MS 38614
Internal Medicine (Pulmonary Disease)
785 OHIO AVE, STE 2H
CLARKSDALE, MS 38614
Clinic/Center (Community Health)
785 OHIO AVE, 2D
CLARKSDALE, MS 38614
Nurse Practitioner (Family)
785 OHIO AVE
CLARKSDALE, MS 38614
Internal Medicine
785 OHIO AVE, SUITE 3G
CLARKSDALE, MS 38614
Internal Medicine
785 OHIO AVE
CLARKSDALE, MS 38614
Internal Medicine (Nephrology)
785 OHIO AVE, SUITE 2H
CLARKSDALE, MS 38614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679714091, enumerated as an "organization" on March 14, 2009.

The provider is located at 785 OHIO AVE SUITE 1D CLARKSDALE, MS 38614 and the phone number is (662) 624-5485.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.