| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHERYL AUSTIN SMITH | 1235247230 | 2023-02-11 |
Cheryl A Smith MD [F] graduated in 1996 from Louisiana State University School Of Medicine In Shreveport and primarily specializes in Family Medicine.
Cheryl Austin Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1235247230. Registration indicates Cheryl Austin Smith is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians) (Preventive Medicine Addiction Medicine, Allopathic & Osteopathic Physicians)
| PECOS ID | 8820993173 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Cheryl Austin Smith MD |
| Practice Office Address | 820 JORDAN ST STE 240 SHREVEPORT, LA US |
| Practice Office Telephone | 8772764846 |
| Practice Office Fax | 3182520560 |
| Mailing Address | 820 JORDAN ST STE 240 SHREVEPORT, LA 711014512 US |
| Business Telephone | 8772764846 |
| Business Fax | 3182520560 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 023233
LA |
| 2083A0300X PRIMARY | Preventive Medicine Addiction Medicine Allopathic & Osteopathic Physicians | 023233
LA |
| 1495671 | MEDICAID | LA |