Active NPI
Debbie C Smith, FNP
- Family Nurse Practitioner
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5015298
- Practice address
- 1766 Metromedical Dr
Fayetteville, NC 28304-3861 - Phone
- (910) 483-4680
- Fax
- (910) 400-8775
- NPI assigned
- Sep 2, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024182626 | VA | |
| Family Nurse Practitioner | 363LF0000X | 5015298 | NC | Primary |
| Family Medicine Physician | 207Q00000X | 5015298 | NC |
Addresses
Primary practice location
1766 Metromedical Dr
Fayetteville, NC 28304-3861
Mailing address
1766 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 483-4680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437827490 | Other | VA | OTHER INSURANCES |
| 1437827490 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 Jefferson St
Whiteville, NC 28472-3707
Phone (910) 642-0331
Hospital & facility affiliations
- Columbus Regional Healthcare System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5015298 | NC | MD | Family Medicine Physician |
| 0024182626 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayetteville Internal Medicine PLLC | Family Medicine | Current | Accepting new patients |
| Columbus Regional Health Network | Family Medicine | Current | Accepting new patients |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Past | Accepting new patients | |
| Columbus Regional Health Network | Family Medicine | Past | Accepting new patients |
Locations
1766 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 483-4680
1778 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 483-4680
619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
Interoperability endpoints
- dsmith@bldnhd.curemd.direct-ci.com
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Whiteville, NC
- NPI 1508001009
-
- Family Nurse Practitioner
- Fayetteville, NC
- NPI 1417684135
Family Medicine
-
- Addiction Psychiatry Physician
- Fayetteville, NC
- NPI 1629588496
-
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
-
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
-
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1437827490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1766 METROMEDICAL DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043861",
"telephone_number": "910-483-4680",
"fax_number": "910-400-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1766 METROMEDICAL DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043861",
"telephone_number": "910-483-4680",
"fax_number": "910-400-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DEBBIE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024182626",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5015298",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "5015298",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER INSURANCES",
"identifier": "1437827490",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437827490",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.