MR. RONALD RAY SMITH (APRN) – Acute Care Nurse Practitioner, NPI 1174740047

MR. RONALD RAY SMITH (APRN) is a healthcare provider. based in Tullahoma, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 12132 (TN). The NPI Number for MR. RONALD RAY SMITH (APRN) is 1174740047

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. RONALD RAY SMITH (APRN)
NPI
1174740047
Phone
(615) 594-9144
Address
1503 N JACKSON ST
Enumeration Date
20 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
6159891088
Graduation Year
2005 (21 years ago)
PAC ID
9133370562
Group Practice PAC ID
8325372741
Professional Enrollment ID
I20121113000347
Address ID
TN370663110GA1156XPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Provider Addresses for MR. RONALD RAY SMITH (APRN)

  • 1503 N JACKSON ST

    TULLAHOMA, TN 373882343

    Phone: (615) 594-9144

    Fax: (931) 962-5162

    Type: Mailing

  • 520 WARREN CHAPEL RD

    DECHERD, TN 373243937

    Phone: (931) 962-5060

    Fax: (931) 962-5162

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121113000347INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2312$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1914$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 37388)

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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: 8325372741View full group profile
NameSpecialtyState
Internal MedicineTN
Nurse PractitionerTN
Physician AssistantMO
Nurse PractitionerTN
Nurse PractitionerTN
Internal MedicineTN
Nurse PractitionerTN
Hospitalist, Internal MedicineNY
Physician AssistantGA
Internal MedicineMI

Reviews

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Frequently asked questions

What number should I use to identify MR. RONALD RAY SMITH (APRN) for billing?
Administrative and clinical systems typically use NPI 1174740047 for MR. RONALD RAY SMITH (APRN).
Is MR. RONALD RAY SMITH (APRN)'s NPI status active today?
Active status means MR. RONALD RAY SMITH (APRN)'s NPI record is not deactivated in the public file.
What type of care does MR. RONALD RAY SMITH (APRN) provide?
MR. RONALD RAY SMITH (APRN)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. RONALD RAY SMITH (APRN)?
MR. RONALD RAY SMITH (APRN) is associated with Tullahoma, Tennessee in the same public data insurers reference.
Can I export MR. RONALD RAY SMITH (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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