Active NPI
Ana Carla Perez Smith, M.D.
- Psychiatry Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2008-00959
- Practice address
- 820 Broad St
Durham, NC 27705-4138 - Phone
- (919) 794-3919
- Fax
- (919) 286-1762
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2008-00959 | NC | |
| Psychiatry Physician | 2084P0800X | 2008-00959 | NC | Primary |
Addresses
Primary practice location
820 Broad St
Durham, NC 27705-4138
Mailing address
820 Broad St
Durham, NC 27705-4138
Phone (919) 794-3919
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Miami, LM Miller School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6015 Fayetteville Rd
Suite 113
Durham, NC 27713-6254
Phone (919) 794-4487
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-00959 | NC | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geode Health of North Carolina, PLLC | Psychiatry | Current | Accepting new patients |
| Fellowship Health Resources, Inc | Current | Accepting new patients |
Locations
6015 Fayetteville Rd
Ste 113
Durham, NC 27713
Phone (919) 794-4487
5509 Creedmoor Rd
Raleigh, NC 27612
Phone (919) 573-6520
25 Blackstone Valley Pl
Ste 300
Lincoln, RI 02865
24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980
Interoperability endpoints
- ana.carla.smith.1@25899.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Durham, NC
- NPI 1588433502
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincoln, RI
- NPI 1245239680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1437316916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 BROAD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054138",
"telephone_number": "919-794-3919",
"fax_number": "919-286-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 BROAD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054138",
"telephone_number": "919-794-3919",
"fax_number": "919-286-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ANA CARLA",
"middle_name": "PEREZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "2008-00959",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2008-00959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.