Elisabeth Bennett Smith, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4306 Harding Rd
Suite 106
Nashville, TN 37205-3593

Phone

(615) 297-5798

Fax

(615) 383-6646

NPI assigned

Jun 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elisabeth Rhachael Bennett Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

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.

• Deborah D Sherman, MD

  • Ophthalmology Physician
  • Nashville, TN
  • NPI 1275674590
  Medicare reassignment

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1427310861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 HARDING RD",
            "address_2": "SUITE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "814-977-2555",
            "fax_number": "615-383-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 HARDING RD",
            "address_2": "SUITE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053593",
            "telephone_number": "615-297-5798",
            "fax_number": "615-383-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELISABETH",
        "middle_name": "BENNETT",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "BENNETT",
            "middle_name": "RHACHAEL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Donnetta Smith, LMSW
• Donna Michelle Smith, ARNP-BC
• E. Dawn Smith, DOULA
• Eden A'Nice Smith
• Eleanor Smith
• Elizabeth Smith, RD, LDN, CDE
• Elizabeth Anne Smith, APRN-BC
• Elizabeth Claire Smith, PA
• Elizabeth Jayne Smith, DMD, MSD
• Elizabeth Rebekah Smith, M.S.S.W.

• Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.