Russell Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110246 Issued in FL

Practice address

425 W. Colonial Dr Ste 303
PMB 451
Orlando, FL 32804

Phone

(407) 476-6040

Fax

(407) 550-7170

NPI assigned

Feb 17, 2017

Last updated

Dec 3, 2025By the provider in NPPES

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 FL

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers, IncGroup PAC ID 4082515390, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBIHAA
• Direct secure messaging: russell.smith@chcfl.eclinicaldirectplus.com

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.

• Community Health Centers, Inc

  • Community/Retail Pharmacy
  • Apopka, FL
  • NPI 1134258684
  Medicare reassignment Care Compare group
• Vita Sana Lifestyle Medicine

  • Medical Physician Assistant
  • Orlando, FL
  • NPI 1225988041
  NPD Authorized official
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1396829677
  NPD
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1710259965
  NPD
• Community Health Centers, Inc.

  • Clinic/Center
  • Orlando, FL
  • NPI 1063147866
  NPD
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1033409123
  NPD (past)
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Clermont, FL
  • NPI 1174022214
  NPD (past)
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Winter Garden, FL
  • NPI 1790851640
  NPD (past)
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1790874956
  NPD (past)
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Groveland, FL
  • NPI 1922197243
  NPD (past)
• Community Health Centers, Inc.

  • Clinic/Center
  • Winter Garden, FL
  • NPI 1134278724
  NPD (past)
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clermont, FL
  • NPI 1477199289
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1023557402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W. COLONIAL DR STE 303",
            "address_2": "PMB 451",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "407-476-6040",
            "fax_number": "407-550-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W. COLONIAL DR STE 303",
            "address_2": "PMB 451",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-476-6040",
            "fax_number": "407-550-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-17",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Smith
• Richard C Smith, M.D.
• Richard L Smith, M.D.
• Robert Smith IV
• Robert Kirk Smith, OD
• Sadat Malik Kwabena Smith, DC, MS, DIBCN, DIBE
• Samone Victoria Smith, BEHAVIOR TECHNICIAN
• Sarah Louise Smith, LCSW
• Savannah Smith
• Shakira Smith

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.