1. Home
  2. Directory
  3. Alabama
  4. Maxwell Afb
  5. Nurse Practitioner
  6. NPI Profile

CHANDRA SMITH FNP-C
NPI 1861944720
Nurse Practitioner - Family in Maxwell Afb, AL

Active since October 26, 2016PECOS Enrolled
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760, MAXWELL AFB, AL 36112(334) 538-8458 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Oct 26, 2016 (2 updates tracked since 2016).

About Chandra Smith Fnp-c NPPES

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

CHANDRA SMITH FNP-C (NPI 1861944720) is an individual family provider in Maxwell Afb, Alabama, licensed in Alabama (1-114368) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861944720
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHANDRA SMITHCredential: FNP-C
Location Address42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760Maxwell Afb, AL 36112-6027
Mailing Address300 S. Twining St., Bldg 760Maxwell Afb, AL 36112-6027 · (334) 953-5200 · Fax (334) 953-8607
Phone(334) 538-8458
Sole ProprietorNo
Enumeration DateOctober 26, 2016
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1861944720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AL · 1-114368✔ Licensed in GA · RN261791
42D MEDICAL GROUP, Maxwell Afb, AL 36112
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chandra Smith Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 36112 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROSS MICHAEL CANUP M.D.
Family Medicine
42D MEDICAL GROUP, 300 S. TWINING ST. BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
DR. JUSTIN E SANDHOLM O.D.
Optometrist
42D MEDICAL GROUP, 300 SOUTH TWINING STREET, BLDG 760
MONTGOMERY, AL 36112
Montgomery County (334) 953-5200
KATLYN GORGUS
Military Health Care Provider (Independent Duty Medical Technicians)
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (580) 481-7082
DR. JOLYN INEZ TATUM PHD
Psychologist (Health)
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
MR. CHRISTOPHER W. KELLY FNP-C APRN, MSN, MSM
Nurse Practitioner (Family)
42D MEDICAL GROUP, 300 S. TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
RANDI HUGHEY LICSW
Social Worker (Clinical)
42D MEDICAL GROUP, 300 S TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-3368
MRS. SARAH MILLER LICSW
Social Worker (Clinical)
42D MEDICAL GROUP, 300 S. TWINNING ST. BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
JOHN CAMPBELL JR.
Psychologist
42D MEDICAL GROUP, 300 TWINING STREET
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5143

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 Chandra Smith's NPI number?

The NPI number for Chandra Smith is 1861944720. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Chandra Smith located?

Chandra Smith practices at 42D Medical Group 300 S. Twining St., Bldg 760, Maxwell Afb, AL 36112. The listed phone number is (334) 538-8458.

What is Chandra Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Chandra Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Chandra Smith was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.