DR. CLYDE J. SMITH III M.D.
NPI 1881822302
Pediatrics - Pediatric Critical Care Medicine in Charlottesville, VA

Q: What is Clyde Smith's NPI number?

The NPI number for Clyde Smith is 1881822302. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Q: What is Clyde Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Smith was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 23, 2009PECOS Enrolled

1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-1761(434) 982-3561 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 21, 2023, Aug 2, 2021, Oct 13, 2020 and 3 more (6 updates tracked since 2018).

On this page

About Dr. Clyde J. Smith Iii M.d. NPPES

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

DR. CLYDE J. SMITH III M.D. (NPI 1881822302) is an individual pediatric critical care medicine provider in Charlottesville, Virginia, licensed in Virginia (0101253870) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881822302

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. CLYDE J. SMITH IIICredential: M.D.

Location Address1215 LEE STCharlottesville, VA 22908-0816

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(434) 924-1761

Fax(434) 982-3561

Sole ProprietorNo

Enumeration DateJune 23, 2009

Last NPPES UpdateJune 21, 20236 updates tracked since enumeration

NPPES CertifiedJune 21, 2023

✔ NPI 1881822302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in VA · 0101253870

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 0101253870 (VA)

Also ListedPediatricsTaxonomy 208000000X · License 0101253870 (VA)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 0101253870 (VA)

1215 LEE ST, Charlottesville, VA 22908

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clyde J. Smith Iii 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

Medicare enrollment records show Clyde Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Virginia Physicians Group

0.9 mi

Neuromusculoskeletal Medicine, Sports Medicine

4105 LEWIS AND CLARK DR
Charlottesville, VA 22911

Reassigned Medicare billing, Virginia enrollment
2,820 clinicians in this Medicare group

NPI 1033138250 (434) 295-1000

Childrens Specialty Group PLLC

145 mi

Pediatrics

601 CHILDRENS LN
Norfolk, VA 23507

Reassigned Medicare billing, Virginia enrollment
549 clinicians in this Medicare group

NPI 1255354130 (757) 668-7007

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

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.

NORMA BRANHAM R.N., N.P.

Nurse Practitioner

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2047

FARNAZ M GAZONI MD

Anesthesiology

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2283

MARGARET K. SANDE M.D.

Emergency Medicine

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2231

KATHERINE T, FORKIN M.D.

Anesthesiology

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2283

AMBER N. INOFUENTES M.D.

Hospitalist

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 243-4288

JOY R MILLER PNP

Nurse Practitioner (Pediatrics)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 243-2617

DR. DARREN GUFFEY M.D.

Dermatology

1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-1931

SETH MORRISON MD

Pediatrics (Pediatric Gastroenterology)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

AARON FREY DO

Emergency Medicine

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2231

SARA M VECCHIONE FNP

Nurse Practitioner (Family)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2231

NICOLE M FRANK PA

Physician Assistant (Medical)

1215 LEE ST, 7TH FLOOR
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 982-1707

ELLEN A FAULK MD

Radiology (Diagnostic Radiology)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-9400

DARLENE ACERO MS, RD

Dietitian, Registered (Nutrition, Metabolic)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2665

MAXWELL THOMAS LAWS MD

Student in an Organized Health Care Education/Training Program

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2203

CONNOR D SLEETH MD

Radiology (Diagnostic Radiology)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-9400

ALEXA WEST RDN

Dietitian, Registered

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-0000

SARA DOGOM BOHON MD

Student in an Organized Health Care Education/Training Program

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

JORDAN EMILY COURTRIGHT DNAP, CRNA

Nurse Anesthetist, Certified Registered

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

MADISON SMITH

Dietitian, Registered

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

MISS DIANA C WARGEL PA

Physician Assistant

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 243-1000

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 Clyde Smith's NPI number?

The NPI number for Clyde Smith is 1881822302. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Clyde Smith located?

Clyde Smith practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-1761.

What is Clyde Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Clyde Smith enrolled in Medicare?

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

Which organizations bill Medicare for Clyde Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clyde Smith reassigns Medicare benefits to 2 organizations: University Of Virginia Physicians Group (Charlottesville, VA) and Childrens Specialty Group PLLC (Norfolk, VA). 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 Clyde Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clyde Smith accept?

Health plans from Oscar Health list Clyde Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clyde Smith was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.