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

Randel L Smith, MD

Individual provider Cardiovascular Disease Physician · NPI 1639288293

Randel L Smith, MD is an Interventional Cardiology in Dickson, Tennessee. Graduated from Louisiana State University School of Medicine in Shreveport in 1991, 35 years ago. Practices with Centennial Heart LLC, a 121-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
35
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
MS, TN
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

111 Highway 70 E Ste G
Dickson, TN 37055-2080
Phone: (615) 515-1900
Fax: (615) 292-4633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 73627 (TN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 73627 (TN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 15148 (MS)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 15148 (MS)

Record details

NPI number1639288293
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address111 Highway 70 E Ste G, Dickson, TN 37055-2080

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1991 (35 years in practice)
Group practice Centennial Heart Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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