Individual provider Active NPI

Ana Carla Perez Smith, M.D.

  • Psychiatry Physician
  • Durham, NC
National Provider Identifier
1437316916
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2008-00959 Issued in NC
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

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141013002530 NC Practitioner - Psychiatry 9436379500 Reassigns benefits to 1 organization

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
Geode Health of North Carolina PLLCGroup PAC ID 2567801020, 12 clinicians

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

LicenseStateTypeSpecialty
2008-00959NCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of North Carolina, PLLC Psychiatry CurrentSince Apr 1, 2024 Accepting new patients
Fellowship Health Resources, Inc CurrentSince Aug 1, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.