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One provider matched this enrollment ID.

Enrollment ID O20051114001051 resolves to a single NPI record. Open the full profile for complete detail.

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NPI · 1952472185 · Active
Paul Grayson Smith, Jr., D.O., P.C.
Family Medicine · Cleveland, Tennessee
Active
NPI
1952472185
Enrollment ID
O20051114001051
Taxonomy
207Q00000X
Type
Part B Supplier - Clinic/Group Practice

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.