Individual provider Active NPI

Ernest Terrill Smith, PA-C

  • Physician Assistant
  • Jamestown, NC
National Provider Identifier
1356519706
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
108 W Main St Ste E
Jamestown, NC 27282-9812
Phone
(336) 883-0029
Fax
(336) 883-0867
NPI assigned
Feb 19, 2008
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NC Primary

Addresses

Primary practice location

108 W Main St Ste E
Jamestown, NC 27282-9812

Mailing address

645 N Main St
High Point, NC 27260-5017
Phone (336) 883-0002

Other practice location 1

507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000734 NC Practitioner - Physician Assistant 2769520394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethany Medical CenterGroup PAC ID 4486614575, 71 clinicians

Practice addresses (Care Compare)

108 W Main St
Suite E
Jamestown, NC 27282-9812
Phone (336) 883-0029

3402 Battleground Ave
Greensboro, NC 27410-2404
Phone (336) 883-0029

3604 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

3605 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

3610 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

495 Arbor Hill Rd
Kernersville, NC 27284-3335
Phone (336) 883-0029

507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
70.27
Promoting interoperability
98
Improvement activities
40
Cost
77.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Nov 24, 2009 Accepting new patients
Bethany Medical Center, PA CurrentSince Oct 5, 2023 Accepting new patients
Cornerstone Health Care, LLC CurrentSince Nov 24, 2009 Accepting new patients
Bethany Medical Center CurrentSince Oct 5, 2023 Accepting new patients
Bethany Medical Center, PA Past Accepting new patients
Cornerstone Health Care PA Past Accepting new patients
Bethany Medical Center Past Accepting new patients
Bethany Medical Center Physician Assistant Past Accepting new patients

Locations

1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

3610 Peters Ct
High Point, NC 27265

507 N Lindsay St
High Point, NC 27262

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

108 W Main St
Ste E
Jamestown, NC 27282

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 9

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1356519706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W MAIN ST STE E",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829812",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 N Lindsay St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624303",
            "country_code": "US",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERNEST",
        "middle_name": "TERRILL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NC

Sources for this page

Verify at the official NPI Registry.