Bessie Lynn Smith

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

653301 Issued in NC

Practice address

1664 Probart St
Brevard, NC 28712-6644

Phone

(828) 506-0033

Fax

(949) 404-6183

NPI assigned

Mar 22, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Davidson River Family Medicine PLLC

  • Family Medicine Physician
  • Brevard, NC
  • NPI 1376009787
  NPD (past)

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1013767250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123834",
            "telephone_number": "828-506-0033",
            "fax_number": "494-404-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 PROBART ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287126644",
            "telephone_number": "828-506-0033",
            "fax_number": "949-404-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BESSIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NC",
            "license": "653301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Shute, LCSW
• Sisters of Mercy Urgent Care Inc
• Ellen Sizemore
• Michael Skovgaard
• Joshua Smallwood
• Rachael Smith, LPC
• Trenton Espenschied Smith, DDS, MSD
• Bradley Paul Snipes
• Southeastern Medical Group, PC
• Southeastern United Care,LLC

• Peer Specialist in Brevard, NC
• Providers in Brevard, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.