DR. REVONNA JOY SMITH (DO) – Anesthesiology Physician, NPI 1215908918

Anesthesiology Physician

DR. REVONNA JOY SMITH (DO) is a healthcare provider. based in Beavercreek, Ohio. specializing in Anesthesiology Physician. They hold the professional credentials DO. They hold a License No. 34004618 (OH). The NPI Number for DR. REVONNA JOY SMITH (DO) is 1215908918

Main info

Female

40 Years Of Experience

Accepts Medicare Assignment

Name

DR. REVONNA JOY SMITH (DO)

NPI

1215908918

Phone

(937) 374-3625

Address

104 PAWLEYS PLANTATION COURT

Enumeration Date

30 January 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE

Secondary Phone

9372984331

Graduation Year

1986 (40 years ago)

PAC ID

5698689289

Group Practice PAC ID

0648170365

Professional Enrollment ID

I20051005000966

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. REVONNA JOY SMITH (DO)

104, Pawleys Plantation Court, Beavercreek Township, Greene County, Ohio, 45385, United States
BEAVERCREEK, OH 45385
Phone: (937) 374-3625
Type: Mailing
3180 KETTERING BLVD.1141 N MONROE DRIVE
DAYTON, OH 454391924
Phone: (937) 297-6072
Fax: (937) 293-0969
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45385)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0648170365View full group profile

Name	Specialty	State
Unknown Individual	-	OH
MISS AUDREY JANE LANDEFELD (MS, CRNA)	-	OH
COURTENAY M DAUMEYER (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
DR. DAVID R GRIGG (M.D.)	-	OH
MICHAEL D WESLEY (CRNA)	-	FL
MR. CHARLES T SHINE (CRNA)	-	OH
MR. CHRISTOPHER KOKE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	NY
CARMEN RENEE SEKULIC (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
ANDREA L ARTHUR (CRNA)	-	OH
ANDREW J WOURMS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH

Reviews

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Frequently asked questions

How do payers reference DR. REVONNA JOY SMITH (DO)?

For DR. REVONNA JOY SMITH (DO), use NPI 1215908918 as the unique 10-digit identifier.

Is DR. REVONNA JOY SMITH (DO) still an active registrant?

DR. REVONNA JOY SMITH (DO) carries an active NPI according to the public dataset.

What kind of doctor is DR. REVONNA JOY SMITH (DO)?

DR. REVONNA JOY SMITH (DO) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.

Is DR. REVONNA JOY SMITH (DO) located near Beavercreek?

DR. REVONNA JOY SMITH (DO) currently maps to Beavercreek, Ohio in this extract.

Does DR. REVONNA JOY SMITH (DO) accept insurance?

Insurance participation is not part of the core NPI extract — call the plan or office to confirm.