Individual provider Active NPI

Karen Cheree Smith, AGNP

  • Gerontology Nurse Practitioner
  • Lincolnton, NC
National Provider Identifier
1366337545
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5022334 Issued in NC
Practice address
515 S Generals Blvd
Lincolnton, NC 28092-3656
Phone
(704) 735-8065
NPI assigned
Jun 10, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5022334 NC Primary

Addresses

Primary practice location

515 S Generals Blvd
Lincolnton, NC 28092-3656

Mailing address

209 Avalon Park Cir Apt 107
Mooresville, NC 28117-9560
Phone (704) 500-3725

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
I20250904001961 NC Practitioner - Nurse Practitioner 7719489384 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 D McGill Ave NW
Concord, NC 28025-4615

209 Avalon Park Cir Apt
Suite 107
Mooresville, NC 28117-9560

345 Redonda Dr
Liberty Hill, TX 78642-2576

PO Box
Detroit, MI 48277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5022334NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Current Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Theoria Medical CurrentSince May 4, 2025 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

307 E Thom St
China Grove, NC 28023
Phone (704) 855-7611

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

515 S Generals Blvd
Lincolnton, NC 28092
Phone (704) 733-8065

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

Interoperability endpoints

  • Direct secure messaging: karen.smith.1@12871.direct.athenahealth.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, 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": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1366337545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 AVALON PARK CIR APT 107",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179560",
            "telephone_number": "704-500-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S GENERALS BLVD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923656",
            "telephone_number": "704-735-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "CHEREE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5022334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

Verify at the official NPI Registry.