Active NPI
Cecily Robin Smith, NP
- Nurse Practitioner
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 160288
- Practice address
- 815 Cox Rd
Gastonia, NC 28054-3453 - Phone
- (704) 865-1700
- Fax
- (704) 865-7948
- NPI assigned
- Mar 31, 2011
- Last updated
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 160288 | NC | Primary |
| Nurse Practitioner | 363L00000X | 990018 | CO |
Addresses
Primary practice location
815 Cox Rd
Gastonia, NC 28054-3453
Mailing address
815 Cox Rd
Gastonia, NC 28054-3453
Phone (704) 865-1700
Other practice location 1
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-2820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73884766 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
815 Cox Rd
Gastonia, NC 28054-3453
Phone (704) 865-1700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 990018 | CO | MD | Nurse Practitioner |
| 160288 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Physician Services, Inc. | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients |
Locations
815 Cox Rd
Gastonia, NC 28054
Phone (704) 865-1700
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
Nurse Practitioner
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
dba Triad Hospitalists
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
-
dba Cone Health Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Greensboro, NC
- NPI 1104193432
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CaroMont Regional Medical Center
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1013206911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543453",
"telephone_number": "704-865-1700",
"fax_number": "704-865-7948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543453",
"telephone_number": "704-865-1700",
"fax_number": "704-865-7948"
}
],
"practiceLocations": [
{
"address_1": "1200 N Elm St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274011004",
"country_code": "US",
"telephone_number": "336-832-2820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CECILY",
"middle_name": "ROBIN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "160288",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "990018",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73884766",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.