Individual provider Active NPI

Janet Lee Smith, PA

  • Physician Assistant
  • Franklin, WV
National Provider Identifier
1194788547
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005314 Issued in VA
Practice address
82 Pine St
Franklin, WV 26807-6630
Phone
(304) 358-2355
Fax
(855) 332-1388
NPI assigned
Apr 7, 2006
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102993 NC
Physician Assistant 363A00000X 0110005314 VA Primary

Addresses

Primary practice location

82 Pine St
Franklin, WV 26807-6630

Mailing address

PO Box 100
Franklin, WV 26807-0100
Phone (304) 358-2355

Other practice location 1

15 Mott St
Harman, WV 26270-5503
Phone (304) 227-4135

Other practice location 2

16921 Mountaineer Drive
Riverton, WV 26814
Phone (304) 567-2101

Other identifiers 1

IdentifierTypeStateIssuer
1194788547MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20190918003094 WV Practitioner - Physician Assistant 8123071636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Pendleton Community Care IncGroup PAC ID 3678470614, 11 clinicians

Practice addresses (Care Compare)

15 Mott St
Harman, WV 26270-0014
Phone (304) 227-4134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102993NCMDPhysician Assistant
0110005314VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pendleton Community Care Inc CurrentSince Aug 15, 2019 Accepting new patients
Pendleton Community Care Inc CurrentSince Dec 25, 2021 Accepting new patients
Pendleton Community Care, Inc. Past Accepting new patients
Pendleton Community Care, Inc. Past Accepting new patients

Locations

15 Mott St
Harman, WV 26270
Phone (304) 227-4134

Interoperability endpoints

  • Direct secure messaging: janet.smith.1@6719.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1194788547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "268070100",
            "telephone_number": "304-358-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PINE ST",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "268076630",
            "telephone_number": "304-358-2355",
            "fax_number": "855-332-1388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Mott St",
            "address_purpose": "LOCATION",
            "city": "Harman",
            "state": "WV",
            "postal_code": "262705503",
            "country_code": "US",
            "telephone_number": "304-227-4135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16921 Mountaineer Drive",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "WV",
            "postal_code": "26814",
            "country_code": "US",
            "telephone_number": "304-567-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANET",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102993",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194788547",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WV

Sources for this page

Verify at the official NPI Registry.