Individual provider Active NPI

Nona Oliva Smith, CNM

  • Advanced Practice Midwife
  • Thomasville, NC
National Provider Identifier
1215009998
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
239 Issued in NC
Practice address
1302 Lexington Ave
Thomasville, NC 27360-3419
Phone
(336) 475-6139
Fax
(336) 475-3331
NPI assigned
Nov 15, 2006
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 239 NC Primary

Addresses

Primary practice location

1302 Lexington Ave
Thomasville, NC 27360-3419

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

200 Charlois Blvd Ste 250
Winston Salem, NC 27103-1566
Phone (336) 308-3447

Other identifiers 1

IdentifierTypeStateIssuer
9486OtherNCACNM C ERTIFICATE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NSMITH196119@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090725000096 NC Practitioner - Certified Nurse Midwife (CNM) 6901959865 Reassigns benefits to 1 organization
I20130506000472 TN Practitioner - Certified Nurse Midwife (CNM) 6901959865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 12, 2020 Accepting new patients
Tennessee Em-I Medical Services, PC Past Accepting new patients

Locations

1302 Lexington Ave
Thomasville, NC 27360
Phone (336) 475-6139

Interoperability endpoints

  • Direct secure messaging: nsmith196119@direct.novanthealth.org

Organizations & group practices 4

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1215009998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 LEXINGTON AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603419",
            "telephone_number": "336-475-6139",
            "fax_number": "336-475-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Charlois Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031566",
            "country_code": "US",
            "telephone_number": "336-308-3447",
            "fax_number": "877-803-0576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NONA",
        "middle_name": "OLIVA",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACNM C ERTIFICATE NUMBER",
            "identifier": "9486",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NSMITH196119@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "200 Charlois Blvd Ste 250",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271031566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.