XUJIA ANNIE SONG SMITH M.D.
NPI 1912269564
Obstetrics & Gynecology in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since June 11, 2012PECOS EnrolledAccepts Medicare Assignment

3 SHIRCLIFF WAY STE 200, JACKSONVILLE, FL 32204(904) 384-3699(904) 384-8529 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 22, 2023, Oct 27, 2022, Feb 26, 2019 and 1 more (4 updates tracked since 2016).

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About Xujia Annie Song Smith M.d. NPPES

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

XUJIA ANNIE SONG SMITH M.D. (NPI 1912269564) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME128438) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of University Of Florida College Of Medicine (2012).

NPPES Registry Identity

NPI1912269564

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameXUJIA ANNIE SONG SMITHCredential: M.D.

Location Address3 SHIRCLIFF WAY STE 200Jacksonville, FL 32204-4785

Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806

Phone(904) 384-3699

Fax(904) 384-8529

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2012

Enumeration DateJune 11, 2012

Last NPPES UpdateJune 22, 20234 updates tracked since enumeration

NPPES CertifiedJune 22, 2023

✔ NPI 1912269564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME128438

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3 SHIRCLIFF WAY STE 200, Jacksonville, FL 32204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Xujia Annie Song Smith M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709187669

PECOS Enrollment IDI20161219001968

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

123 services123 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

122 services122 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

79 services79 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services42 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

27 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 18

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

THOMAS R. VIRTUE M.D.

Obstetrics & Gynecology