Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Cody Ross Smith, MD

Individual provider Family Medicine Physician · NPI 1588928436

Dr. Cody Ross Smith, MD is a Family Practice in Fayetteville, Arkansas. Qualified in 2012, 14 years ago. Practices with Medical Associates of Northwest Arkansas, PA, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
14
Licensed in
AR
In the registry since
2012
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

1673 N College Ave
Fayetteville, AR 72703-1919
Phone: (479) 521-0200
Fax: (479) 521-4942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1188 N Salem Rd Ste 6, Fayetteville, AR 72704-8803 — (479) 442-0006

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E-8488 (AR)

Record details

NPI number1588928436
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing addressPo Box 1523, Fayetteville, AR 72702-1523

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Medical Associates Of Northwest Arkansas, Pa — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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