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PHILIP SMITH M.D.
NPI 1780608984
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fairfax, VA

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031(703) 207-7818(703) 653-6692 Get Directions Write a Review

NPPES record last updated: December 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip Smith M.d. NPPES

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

PHILIP SMITH M.D. (NPI 1780608984) is an individual child & adolescent psychiatry provider in Fairfax, Virginia, licensed in Virginia (0101058192) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1997).

NPPES Registry Identity

NPI1780608984
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NamePHILIP SMITHCredential: M.D.
Location Address8221 WILLOW OAKS CORPORATE DRFairfax, VA 22031-4512
Mailing Address8221 Willow Oaks Corporate DrFairfax, VA 22031-4512 · (703) 207-7818 · Fax (703) 653-6692
Phone(703) 207-7818
Fax(703) 653-6692
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1997
Enumeration DateJuly 27, 2006
Last NPPES UpdateDecember 11, 2016
✔ NPI 1780608984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in VA · 0101058192
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD034477 (DC)
8221 WILLOW OAKS CORPORATE DR, Fairfax, VA 22031
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Other Identifiers 3

Medicare UPINH64118
Other0101058192VA · Medical License
OtherMD034477DC · Medical License

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

Philip 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.

PECOS PAC ID4284520289
PECOS Enrollment IDI20040226000163
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.

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.

CONNIE LEE MD
Psychiatry & Neurology (Psychiatry)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
NEIGHBORHOOD HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 535-5568
FELICIA ABOAGYE LNP
Nurse Practitioner (Psychiatric/Mental Health)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
TRISHA MARIE HINDY BURKS LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 852-0041
ANNA LEE KOOZMIN MSW, LCSW, LICSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 324-7100
JULIA LYNN CONVERSE LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
DESIREE ROBERTS LPC
Counselor (Professional)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000

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 Philip Smith's NPI number?

The NPI number for Philip Smith is 1780608984. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Philip Smith located?

Philip Smith practices at 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031. The listed phone number is (703) 207-7818.

What is Philip Smith's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Philip Smith enrolled in Medicare?

Yes. Philip 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.

When was this NPI record last updated?

The NPPES record for Philip Smith was last updated on December 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.