Individual provider Active NPI

Toni Johnette Rockholt-Smith, DO

  • Pediatrics Physician
  • Greensboro, NC
National Provider Identifier
1215566682
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2025-02993 Issued in NC
Practice address
1200 N Elm St
Greensboro, NC 27401-1004
Phone
(336) 832-7000
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2025-02993 NC Primary
Pediatrics Physician 208000000X 89683 SC
Student in an Organized Health Care Education/Training Program 390200000X NM

Addresses

Primary practice location

1200 N Elm St
Greensboro, NC 27401-1004

Mailing address

1320 Ribaut Rd
Port Royal, SC 29935-1118
Phone (505) 272-5551

Other practice location 1

719 Okatie Hwy # 170
Okatie, SC 29909-3963
Phone (843) 987-7400

Other practice location 2

Msc Pediatrics 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-5551

Other names 1

  • Toni Johnette Rockholt Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trockholtsmith767578@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230712001119 SC Practitioner - Pediatric Medicine 6406273168 Reassigns benefits to 1 organization
I20251028004144 NC Practitioner - Pediatric Medicine 6406273168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E Wendover Ave
FL 2
Greensboro, NC 27401-1221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-02993NCMDPediatrics Physician
89683SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc CurrentSince Jun 19, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Nov 1, 2025 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Jun 19, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Pediatrics CurrentSince Nov 1, 2025 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

301 E Wendover Ave
Ste 400
Greensboro, NC 27401
Phone (336) 832-3150

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

721 Okatie Hwy
Okatie, SC 29909

719 Okatie Hwy
Okatie, SC 29909
Phone (843) 987-7408

1320 Ribaut Rd
Port Royal, SC 29935
Phone (843) 322-1833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD
  • Direct secure messaging: trockholtsmith767578@direct.conehealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1215566682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351118",
            "telephone_number": "505-272-5551",
            "fax_number": "843-986-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 Okatie Hwy # 170",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299093963",
            "country_code": "US",
            "telephone_number": "843-987-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Msc Pediatrics 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-5551",
            "fax_number": "505-272-6845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCKHOLT-SMITH",
        "first_name": "TONI",
        "middle_name": "JOHNETTE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2025-02993",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "89683",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trockholtsmith767578@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1200 N Elm St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "ROCKHOLT",
            "middle_name": "JOHNETTE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.