Individual provider Active NPI

Natalie Burns Smith, PA

  • Physician Assistant
  • New Bern, NC
National Provider Identifier
1386974152
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02211 Issued in NC
Practice address
600 Lilliput Dr
New Bern, NC 28562-9067
Phone
(252) 414-7928
NPI assigned
Dec 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0010-02211 NC Primary

Addresses

Primary practice location

600 Lilliput Dr
New Bern, NC 28562-9067

Mailing address

600 Lilliput Dr
New Bern, NC 28562-9067
Phone (252) 414-7928

Other practice location 1

1711 E Arlington Blvd
Greenville, NC 27858-5872
Phone (252) 355-4357

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
I20100331001269 NC Practitioner - Physician Assistant 4688700321 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Aug 1, 2021 Accepting new patients
Fastmed Urgent Care PC Past Accepting new patients
Carolina Quickcare PA Past Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1473 NC 42 43 W
Pinetops, NC 27864
Phone (252) 641-8585

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1386974152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LILLIPUT DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285629067",
            "telephone_number": "252-414-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LILLIPUT DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285629067",
            "telephone_number": "252-414-7928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 E Arlington Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585872",
            "country_code": "US",
            "telephone_number": "252-355-4357",
            "fax_number": "252-355-4187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATALIE",
        "middle_name": "BURNS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.