Madilyn Gray Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-06744 Issued in NC

Practice address

110 E H St
Erwin, NC 28339-2144

Phone

(910) 808-1051

Fax

(866) 304-6782

NPI assigned

Oct 24, 2016

Last updated

Mar 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: msmith94621@capefearvalley.direct-ci.com

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.

• Lillington Medical Services, LLC

  dba Cape Fear Valley Primary Care-Lillington

  • Family Medicine Physician
  • Lillington, NC
  • NPI 1770897142
  Medicare reassignment

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1407307598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BRADDOCK DR",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466305",
            "telephone_number": "910-890-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E H ST",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392144",
            "telephone_number": "910-808-1051",
            "fax_number": "866-304-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MADILYN",
        "middle_name": "GRAY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-06744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiata Redfear
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Richard Michael Slusher, D.O.
• Tracy Jackson Snyder, LCASA
• Sarah Stall, PA-C
• Melissa L. Stancil, MA
• Anna Grace Stephenson, FNP
• Stewart Optometry Group, PA

• Medical Physician Assistant in Erwin, NC
• Providers in Erwin, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.