Active NPI
Allie Stugart Smith, PA-C
- Physician Assistant
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11568
- Practice address
- 186 Kimel Park Dr
Winston Salem, NC 27103-6946 - Phone
- (336) 277-2000
- Fax
- (336) 277-2050
- NPI assigned
- Jan 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-11568 | NC | Primary |
Addresses
Primary practice location
186 Kimel Park Dr
Winston Salem, NC 27103-6946
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 277-2000
Other practice location 1
6301 Stadium Dr
Clemmons, NC 27012-8766
Phone (336) 766-6473
Other practice location 2
4350 US 421 S
Lillington, NC 27546-6760
Phone (910) 893-1210
Other practice location 3
185 Kimel Park Dr
Winston Salem, NC 27103-6973
Phone (336) 277-2000
Other names 1
- Allie Graves Stugart
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210924000478 | NC | Practitioner - Physician Assistant | 7517364110 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
185 Kimel Park Dr
Winston Salem, NC 27103-6973
Phone (336) 277-2000
186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 277-2000
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5000
6301 Stadium Dr
Clemmons, NC 27012-8766
Phone (336) 766-6473
725 Highland Oaks Dr
Suite 200
Winston Salem, NC 27103-7109
Phone (336) 277-2620
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-11568 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
3515 W Market St
Ste 110
Greensboro, NC 27403
Phone (336) 299-0099
144 Forest Hill Rd
Ste 144146
Lexington, NC 27295
Phone (336) 481-1730
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000
185 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- astugart830280@direct.novanthealth.org
Organizations & group practices 5
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1154780476
-
- Urology Physician
- Thomasville, NC
- NPI 1275255747
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1154911519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-277-2000",
"fax_number": "336-277-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 KIMEL PARK DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036946",
"telephone_number": "336-277-2000",
"fax_number": "336-277-2050"
}
],
"practiceLocations": [
{
"address_1": "6301 Stadium Dr",
"address_purpose": "LOCATION",
"city": "Clemmons",
"state": "NC",
"postal_code": "270128766",
"country_code": "US",
"telephone_number": "336-766-6473",
"fax_number": "336-766-8909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4350 US 421 S",
"address_purpose": "LOCATION",
"city": "Lillington",
"state": "NC",
"postal_code": "275466760",
"country_code": "US",
"telephone_number": "910-893-1210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "185 Kimel Park Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271036973",
"country_code": "US",
"telephone_number": "336-277-2000",
"fax_number": "336-277-2050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ALLIE",
"middle_name": "STUGART",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-11568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLIE",
"last_name": "STUGART",
"middle_name": "GRAVES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.