Ava Smith, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11972 Issued in TX

Practice address

8441 State Highway 47 Ste 1400
Bryan, TX 77807-3208

Phone

(979) 774-8200

Fax

(877) 601-5854

NPI assigned

May 30, 2018

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

Enrolled in TX

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

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Aandm University System Health Science CenterGroup PAC ID 8224008644, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asmith32429@texasamuniversity.gardenplot.direct-ci.com

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.

• Texas a&M University System Health Science Center

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1063699312
  Medicare reassignment Care Compare group NPD
• Texas a&M University System Health Science Center

  • Rural Health Clinic/Center
  • Navasota, TX
  • NPI 1558140004
  NPD
• Texas Hearing Center PLLC

  • Audiologist
  • Humble, TX
  • NPI 1548150519
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1023500709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022623",
            "telephone_number": "979-776-8440",
            "fax_number": "877-601-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 STATE HIGHWAY 47 STE 1400",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778073208",
            "telephone_number": "979-774-8200",
            "fax_number": "877-601-5854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10780 Westview Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770435038",
            "country_code": "US",
            "telephone_number": "713-932-5230",
            "fax_number": "713-932-5239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9816 Memorial Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384205",
            "country_code": "US",
            "telephone_number": "281-913-3550",
            "fax_number": "281-319-6072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4850 W Bellfort St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770353413",
            "country_code": "US",
            "telephone_number": "713-723-3135",
            "fax_number": "832-658-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AVA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Simmang
• Santana Simple, PHD, LPC-S,NCC
• Sue C Simpson, OD
• Alyssa Slack
• Steven Smalling, CRNA
• Bailey Smith
• Charles H Smith, M.D.
• Chelsea Leigh Smith, BCBA
• Emily Michelle Smith, COTA
• Judy Jean Smith, WHCNP

• Physician Assistant in Bryan, TX
• Providers in Bryan, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.