Individual provider Active NPI

Caroline Clements Smith, M.D.

  • Pediatrics Physician
  • Burlington, NC
National Provider Identifier
1023115136
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Practice address
221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone
(336) 570-3739
Fax
(336) 570-1215
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NC Primary

Addresses

Primary practice location

221 N Graham Hopedale Rd
Burlington, NC 27217-2971

Mailing address

2125 Old Forest Dr
Hillsborough, NC 27278-7341
Phone (919) 489-3248

Other identifiers 1

IdentifierTypeStateIssuer
8999999MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000571 NC Practitioner - Pediatric Medicine 2466580436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200300289NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. Current Accepting new patients
Piedmont Health Services, Inc. CurrentSince Apr 1, 2010 Accepting new patients
Piedmont Health Services, Inc. CurrentSince Apr 1, 2010 Accepting new patients

Locations

221 N Graham Hopedale Rd
Burlington, NC 27217
Phone (336) 532-0414

7228 Moncure Pittsboro Rd
Moncure, NC 27559
Phone (919) 542-1641

1301 Central Dr
Ste B
Sanford, NC 27330
Phone (919) 933-8494

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023115136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OLD FOREST DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272787341",
            "telephone_number": "919-489-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N GRAHAM HOPEDALE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172971",
            "telephone_number": "336-570-3739",
            "fax_number": "336-570-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLINE",
        "middle_name": "CLEMENTS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8999999",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.