Individual provider Active NPI

Felicia Shavetta Smith

  • Family Nurse Practitioner
  • Orangeburg, SC
National Provider Identifier
1043003858
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30027 Issued in SC
Practice address
153 Founders CT
Orangeburg, SC 29118-2087
Phone
(803) 268-5300
NPI assigned
May 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30027 SC Primary

Addresses

Primary practice location

153 Founders CT
Orangeburg, SC 29118-2087

Mailing address

208 Cotton St
North, SC 29112-8281
Phone (803) 308-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30027SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Eyecare, LLC PastSince May 25, 2025 Accepting new patients
The Methodist Oaks PastSince May 25, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1043003858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COTTON ST",
            "city": "NORTH",
            "state": "SC",
            "postal_code": "291128281",
            "telephone_number": "803-308-3937",
            "fax_number": "803-308-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 FOUNDERS CT",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182087",
            "telephone_number": "803-268-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FELICIA",
        "middle_name": "SHAVETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.