Individual provider Active NPI

Ailisa Hipp Smith, MD

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1356479828
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008-00610 Issued in NC
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2022135OtherNCMEDICARE
5909242MedicaidNC
CN8132OtherNCRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000248 NC Practitioner - Family Practice 3577633007 Reassigns benefits to 2 organizations

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
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

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 Home health agency, Hickory, NC, CCN 347300
  • Guardian Home Health Home health agency, Hickory, NC, CCN 347085
  • Bayada Home Health Care, Inc Home health agency, Salisbury, NC, CCN 347325
  • Medi Home Health Agency Home health agency, Taylorsville, NC, CCN 347102
  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116
  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
610NCMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Jun 1, 2012 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jun 1, 2012 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.