MEDICARE: SCOTT A SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	T25047268	VA

General Provider Information

NPI Number	:	1790622512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT A SMITH

Provider Business Mailing Address
First Line	:	7272 HARDTACK RD
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-6590
Country	:	US
Telephone Number	:	804-929-0165
Fax Number	:

Provider Business Practice Location Address
First Line	:	7272 HARDTACK RD
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-6590
Country	:	US
Telephone Number	:	804-929-0165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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Directions to “ SCOTT A SMITH ” Practice Location

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