Alexis Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007788 Issued in MI

Practice address

1700 W Big Beaver Rd Ste 300
Troy, MI 48084-3514

Phone

(248) 707-5554

NPI assigned

Jun 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alexis Hagan Other name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physician Assistant

Education

Wayne State University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Advanced Psychiatry, P.C.Group PAC ID 2567877574, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michigan Advanced Psychiatry, P.C.

  • Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1629686837
  Medicare reassignment Care Compare group
• Indiana Advanced Psychiatry

  • Psychiatry Physician
  • Fort Wayne, IN
  • NPI 1861253742
  NPD

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1306295902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W BIG BEAVER RD STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843514",
            "telephone_number": "248-885-8887",
            "fax_number": "248-940-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W BIG BEAVER RD STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843514",
            "telephone_number": "248-707-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "HAGAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Smi Care of Mi, LLC
• Smile Centers PC
• Smile Fresh Troy, P.C.
• Alicia Sharaim Smiley-Fuller
• Rebecca Marie Smith-Darner, M.A. CCC-SLP
• Alicia Kay Smith
• Caren K Smith, MA, LLP
• David Parrish Smith
• Euphemia Smith
• Janae Smith

• Physician Assistant in Troy, MI
• Providers in Troy, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.