Courtney Smith, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9110703 Issued in FL

Practice address

3200 Bailey LN Ste 200
Naples, FL 34105-8523

Phone

(239) 262-1721

Fax

(239) 262-5903

NPI assigned

Sep 8, 2017

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

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Merit-based Incentive Payment System (MIPS)

Final score

95.17 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.44

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: courtney.kaiser@collierneurologic.directbygreenway.com
• Direct secure messaging: courtney.smith@cns.eclinicaldirectplus.com

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.

• Collier Neurologic Specialists LLC

  • Neurology Physician
  • Naples, FL
  • NPI 1871543512
  Medicare reassignment

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1184142226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BAILEY LANE",
            "address_2": "SUITE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341058523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BAILEY LN STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341058523",
            "telephone_number": "239-262-1721",
            "fax_number": "239-262-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2024-04-11",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9110703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Courtney.Kaiser@collierneurologic.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 Bailey Ln Ste 200",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341058523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney.smith@cns.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 Bailey Ln Ste 200",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341058523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney.smith@cns.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 Bailey Ln Ste 200",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341058523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew D Smith, PHARM.D.
• Atira Tsahai Smith
• Brian M Smith, M.D.
• Chloe Smith
• Cody Smith
• David M Smith, PSYD
• Elizabeth Darlene Smith, FNP
• Francisco Alberto Smith, M.D.
• Heidi G Smith, P.T.A
• Jaclyn Arielle Smith, M.D.

• Surgical Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.