Gary L. Smoot, M.D., P.a.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GARY L. SMOOT, M.D., P.A.

Doing business as

Crown Spine

Practice address

1091 Pemberton Hill Rd Ste 101
Apex, NC 27502-4269

Phone

(919) 444-8800

Fax

(919) 336-4568

NPI assigned

Dec 28, 2020

Organization subpart

No

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

Authorized official

Name

Lisa Pittman Smoot, FNPNPI 1932417276

Title

Practice Manager

Phone

(919) 444-1577

Specialties & licenses 1

Addresses

Other names 1

• Crown Spine Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Smoot, FNP

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1932417276
  NPD Authorized official
• Gary Lowell Smoot, MD

  • Physical Medicine & Rehabilitation Physician
  • Apex, NC
  • NPI 1558335612
  NPD

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1134716921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SKY LN",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273126638",
            "telephone_number": "919-444-1577",
            "fax_number": "919-336-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 PEMBERTON HILL RD STE 101",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024269",
            "telephone_number": "919-444-8800",
            "fax_number": "919-336-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. SMOOT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "SMOOT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "PITTMAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-444-1577",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samraj Johnson Gaddam
• Anirudh Shray Gajjala, DO
• Shountrell Galberth
• Gallert Mobile Aud NC PLLC
• John Arthur Gantt, PA
• Heather Gavette, MA, CCC-SLP
• Lisa A Gaynes
• Getnet Gebreslassie
• Anna Amendha George, OTR/L
• Sadie Geske

• Physical Medicine & Rehabilitation Physician in Apex, NC
• Providers in Apex, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.