Kierra Christina Elizabeth Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15056 Issued in NC

Practice address

3811 Ed Dr Ste 110
Raleigh, NC 27612-2393

Phone

(919) 390-0200

NPI assigned

Dec 25, 2024

Sex

Female

Sole proprietor

Yes

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 NC

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

University of Pittsburgh School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Dermatology PAGroup PAC ID 7012971609, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcsmith@aadermaffiliates.emadirect.md

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.

• Southern Dermatology, P.a.

  • Specialist
  • Raleigh, NC
  • NPI 1568415586
  Medicare reassignment Care Compare group
• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Hillsborough, NC
  • NPI 1194828145
  NPD
• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1295784874
  NPD
• Dermone of North Carolina PA

  • MOHS-Micrographic Surgery Physician
  • Wilmington, NC
  • NPI 1245578921
  NPD (past)
• Raleigh Skin Surgery Center

  • MOHS-Micrographic Surgery Physician
  • Raleigh, NC
  • NPI 1881864411
  NPD (past)
• Vein Specialists of North Carolina, PA

  • Surgery Physician
  • Wilmington, NC
  • NPI 1124225057
  NPD (past)
• Anne Arundel Dermatology Affiliates PC

  • Dermatology Physician
  • Hunt Valley, MD
  • NPI 1083200794
  NPD (past)

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

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1043028830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 ED DR STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122393",
            "telephone_number": "919-390-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017346",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5272 Ocean Hwy W",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704006",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723706",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1099 Medical Center Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017367",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 Vance St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283284001",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIERRA",
        "middle_name": "CHRISTINA ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-25",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "15056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Altarik Smith
• Kelly Hann Smith, CPNP
• Kelsey Smith
• Kevin Smith
• Kevin Gene Smith, MSW, CSOTP
• Kimberly Smith, NP
• Kimberly Yvonne White Smith, P.A.
• Kristen Smith
• Latrella Smith
• Leslie Smith, M.S., CCC-A

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.