Active NPI
Ailisa Hipp Smith, MD
- Family Medicine Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2008-00610
- Practice address
- 915 Tate Blvd SE
Suite 186
Hickory, NC 28602-4042 - Phone
- (828) 324-0359
- Fax
- (828) 324-0358
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2008-00610 | NC | Primary |
| Legal Medicine (M.D./D.O.) Physician | 209800000X | 2008-00610 | NC |
Addresses
Primary practice location
915 Tate Blvd SE
Suite 186
Hickory, NC 28602-4042
Mailing address
915 Tate Blvd SE
Suite 186
Hickory, NC 28602-4042
Phone (828) 324-0359
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022135 | Other | NC | MEDICARE |
| 5909242 | Medicaid | NC | |
| CN8132 | Other | NC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wake Forest University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1105 Fairgrove Church Rd SE
Conover, NC 28613-9090
Phone (828) 267-0551
2810 16TH St NE
Hickory, NC 28601-9600
Phone (828) 324-0359
915 Tate Blvd SE
Hickory, NC 28602-4042
Hospital & facility affiliations
- Gentiva Health Services
- Guardian Home Health
- Bayada Home Health Care, Inc
- Medi Home Health Agency
- Frye Regional Medical Center
- Catawba Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610 | NC | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| DLP Frye Regional Medical Center LLC | Past | Accepting new patients | |
| Cornerstone Health Care LLC | Past | Accepting new patients |
Locations
178 Highway 105 Ext
Ste 201
Boone, NC 28607
Phone (828) 262-1800
305 1st St E
Conover, NC 28613
Phone (828) 464-3821
2810 16th St NE
Hickory, NC 28601
Phone (828) 324-0359
24 2nd Ave NE
Hickory, NC 28601
Phone (828) 324-9900
2359 Springs Rd NE
Hickory, NC 28601
Phone (828) 210-2803
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
1470 E Gaston St
Ste 300
Lincolnton, NC 28092
Phone (704) 735-7474
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- ailisa.smith.1@15786.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
- Cardiovascular Disease Physician
- Hickory, NC
- NPI 1093253205
-
- Ophthalmology Physician
- Greensboro, NC
- NPI 1003114992
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
-
- Clinical Medical Laboratory
- Conover, NC
- NPI 1871159145
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salisbury, NC
- NPI 1508125816
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
- Home Health Agency
- Hickory, NC
- NPI 1316974272
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
-
- Home Health Agency
- Taylorsville, NC
- NPI 1063880540
-
- Home Health Agency
- Hickory, NC
- NPI 1487132866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1356479828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 TATE BLVD SE",
"address_2": "SUITE 186",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024042",
"telephone_number": "828-324-0359",
"fax_number": "828-324-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 TATE BLVD SE",
"address_2": "SUITE 186",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024042",
"telephone_number": "828-324-0359",
"fax_number": "828-324-0358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AILISA",
"middle_name": "HIPP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2008-00610",
"primary": true
},
{
"code": "209800000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NC",
"license": "2008-00610",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "2022135",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5909242",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN8132",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.