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: October 18, 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
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

Other Identifiers 2

Other46719FL · Bcbs
Medicaid256488200FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

8

Medicare enrollment records show Mark Smith reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 189 clinicians in this Medicare group
Urgent Care
720 SW 2ND AVE., 160A
Gainesville, FL 32601
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group
Urgent Care
311 SOUTH AVALON PARK BLVD
Orlando, FL 32828
  • Reassigned Medicare billing, Florida enrollment
  • 133 clinicians in this Medicare group
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
Urgent Care
1820 58TH AVE., UNIT 110
Vero Beach, FL 32966
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
Urgent Care
8756 BOYNTON BEACH BLVD, SUITE 150
Boynton Beach, FL 33472
  • Reassigned Medicare billing, Florida enrollment
  • 83 clinicians in this Medicare group
Urgent Care
1205 N UNIVERSITY DR
Coral Springs, FL 33071
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group
Urgent Care
4713 HIGHWAY 90
Pace, FL 32571
  • Reassigned Medicare billing, Florida enrollment
  • 51 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Mark Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Smith reassigns Medicare benefits to 8 organizations: Solantic Of Jacksonville, LLC (Ponte Vedra, FL), Shands/Solantic Joint Venture, LLC (Gainesville, FL), Carespot Of Orlando Hsi Urgent Care LLC (Orlando, FL), Paragon Emergency Services LLC (Winter Haven, FL), Hma/Solantic Joint Venture, LLC (Vero Beach, FL) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.