Shondra L Smith, MD Dermatology & Advanced Aesthetics, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SHONDRA L SMITH, MD DERMATOLOGY & ADVANCED AESTHETICS, LLC

Doing business as

Dermatology and Advanced Aesthetics, LLC

Practice address

3635 Nelson Road
Lake Charles, LA 70605-0000

Phone

(337) 477-0011

Fax

(337) 477-0010

NPI assigned

Oct 6, 2005

Last updated

May 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shondra L. Smith, MDNPI 1134117898

Title

Owner/MD

Phone

(337) 477-0011

Specialties & licenses 1

Addresses

Other names 1

• Dermatology and Advanced Aesthetics, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shondra L. Smith, MD

  • Dermatology Physician
  • Lake Charles, LA
  • NPI 1134117898
  Medicare reassignment Care Compare group NPD Authorized official
• Jill Conner, N.P.

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1891824454
  Medicare reassignment Care Compare group NPD
• John Paul Miller, MD

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1124588140
  Medicare reassignment Care Compare group NPD
• Savannah Guidry Burnett, PA-C

  • Physician Assistant
  • Lake Charles, LA
  • NPI 1588947956
  Medicare reassignment Care Compare group
• Cindi Ann Reed, PHARMD

  • Pharmacotherapy Pharmacist
  • Lake Charles, LA
  • NPI 1962493429
  NPD
• Randall Scott Juleff, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mandeville, LA
  • NPI 1487615142
  NPD (past)
• Charles Scott Norris, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Osage Beach, MO
  • NPI 1811979859
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1447248166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051213",
            "telephone_number": "337-477-0011",
            "fax_number": "337-477-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 NELSON ROAD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706050000",
            "telephone_number": "337-477-0011",
            "fax_number": "337-477-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHONDRA L SMITH, MD DERMATOLOGY & ADVANCED AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHONDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "337-477-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology and Advanced Aesthetics, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shianne Syed, M. Ed, LPC, NCC, LLC
• Richard Thomas Shimer, MD
• Shantell Shinnette
• Amanda Shoemake
• Shonda Wigs Refining Boutique LLC.
• Courtney Michelle Short-Prudhomme
• Morgan Rae Short, APRN, ANP-C
• Ronald Michael Short, DDS
• Cynthia B Shrewsberry, LPC, LMFT, NCC
• Judith A Shuff

• Dermatology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.