1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. General Practice
  6. NPI Profile

DR. MARK ANTHONY SMITH M.D.
NPI 1871558114
General Practice in Jacksonville, FL

Active since April 19, 2006PECOS Enrolled
13460 BEACH BLVD STE 1, JACKSONVILLE, FL 32224(904) 854-1700 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Anthony Smith M.d. NPPES

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

DR. MARK ANTHONY SMITH M.D. (NPI 1871558114) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (ME77870) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871558114
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MARK ANTHONY SMITHCredential: M.D.
Location Address13460 BEACH BLVD STE 1Jacksonville, FL 32224-0301
Mailing Address2925 Leon RdJacksonville, FL 32246-3664 · (904) 536-6755 · Fax (904) 646-0278
Phone(904) 854-1700
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
✔ NPI 1871558114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME77870
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License ME77870 (FL)
13460 BEACH BLVD STE 1, Jacksonville, FL 32224
Open in Google Maps ↗

Other Identifiers 2

Other46719FL · Bcbs
Medicaid256488200FL

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. Mark Anthony Smith M.d. 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.

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 Mark Smith's NPI number?

The NPI number for Mark Smith is 1871558114. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Mark Smith located?

Mark Smith practices at 13460 Beach Blvd Ste 1, Jacksonville, FL 32224. The listed phone number is (904) 854-1700.

What is Mark Smith's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mark Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Smith was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.