Charles Jason Smith, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

107558 Issued in WV

Practice address

4540 US Route 60
Huntington, WV 25705-1936

Phone

(304) 525-7111

NPI assigned

Dec 27, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mobile Wound Care Services - Southeast PCGroup PAC ID 1355841412, 6 clinicians

Regional Healthcare Group LLCGroup PAC ID 8224412234, 15 clinicians

Huntington Hospitalist Group IncGroup PAC ID 7810125424, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CJS Industries LLC

  • Adult Health Nurse Practitioner
  • Barboursville, WV
  • NPI 1174401764
  Medicare reassignment NPD Authorized official
• Huntington Hospitalist Group Inc

  • Hospitalist Physician
  • Huntington, WV
  • NPI 1750710166
  Medicare reassignment Care Compare group NPD
• Mobile Wound Care Services - Southeast PC

  • Specialist
  • Mount Juliet, TN
  • NPI 1134914518

  WV

  Medicare reassignment Care Compare group NPD
• Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1407587363

  WV

  Medicare reassignment Care Compare group NPD
• Huntington Hospitalist Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington, WV
  • NPI 1124695721
  NPD
• Guardian Biologics LLC

  • Specialist
  • Mount Juliet, TN
  • NPI 1033890876
  NPD
• Huntington Hospitalist Group Inc

  • Multi-Specialty Clinic/Center
  • Grayson, KY
  • NPI 1467223982
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1003576414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051936",
            "telephone_number": "304-525-7111",
            "fax_number": "304-736-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051936",
            "telephone_number": "304-525-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLES",
        "middle_name": "JASON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-27",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WV",
            "license": "107558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Smith
• Betty Smith
• Bradley Smith, RBT
• Brooke Smith, PTA
• Chadwick Ray Smith, M.D.
• Chelsea Smith, PA-C
• Colleen D Smith, MA, LP
• Cynthia Ann Smith, C-FNP, DNP, APRN
• David Smith
• David L Smith, MA CCC A

• Primary Care Nurse Practitioner in Huntington, WV
• Providers in Huntington, WV by specialty
• Primary Care Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.