Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andre Blair Smith, MD

Individual provider Family Medicine Physician · NPI 1417920463

Dr. Andre Blair Smith, MD is a Family Practice in Lansing, Michigan. Graduated from Michigan State University College of Human Medicine in 1990, 36 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
36
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4416 Blackberry Ln
Lansing, MI 48917-1633
Phone: (517) 775-9799
Fax: (877) 488-5507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301056626 (MI)

Record details

NPI number1417920463
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 9, 2006
Last updated in NPPESJuly 21, 2022
Mailing address4416 Blackberry Ln, Lansing, MI 48917-1633

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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