Individual provider Active NPI

Austin Tyler Smarsh, DO, MPH

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1174211197
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2026-04692 Issued in NC
Practice address
8001 T W Alexander Dr
Raleigh, NC 27617-4883
Phone
(919) 350-0953
NPI assigned
Apr 27, 2023
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2026-04692 NC Primary
Family Medicine Physician 207Q00000X R4063 AZ

Addresses

Primary practice location

8001 T W Alexander Dr
Raleigh, NC 27617-4883

Mailing address

PO Box 803854
Kansas City, MO 64180-3854
Phone (919) 350-0351

Other identifiers 1

IdentifierTypeStateIssuer
1174211197MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904004397 AZ Order and Referring Only - Family PracticePractitioner - Family Practice 7214477397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1174211197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803854",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803854",
            "telephone_number": "919-350-0351",
            "fax_number": "919-350-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 T W ALEXANDER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174883",
            "telephone_number": "919-350-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMARSH",
        "first_name": "AUSTIN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2026-04692",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R4063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174211197",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.