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

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: August 02, 2026.

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

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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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. 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.

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

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.

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.