Individual provider Active NPI

Shonda H Smitherman, RN FNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Yadkinville, NC
National Provider Identifier
1447312095
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
201558 Issued in NC
Practice address
217 E Willow St
Yadkinville, NC 27055-0457
Phone
(336) 679-4203
Fax
(336) 679-6358
NPI assigned
Dec 13, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 201558 NC
Adult Health Nurse Practitioner 363LA2200X 201558 NC
Community Health Nurse Practitioner 363LC1500X 201558 NC
Family Nurse Practitioner 363LF0000X 201558 NC
Pediatric Nurse Practitioner 363LP0200X 201558 NC
Perinatal Nurse Practitioner 363LP1700X 201558 NC
Primary Care Nurse Practitioner 363LP2300X 201558 NC
Women's Health Nurse Practitioner 363LW0102X 201558 NC
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 201558 NC Primary

Addresses

Primary practice location

217 E Willow St
Yadkinville, NC 27055-0457

Mailing address

217 E Willow St
Yadkinville, NC 27055-0457
Phone (336) 679-4203

Other identifiers 1

IdentifierTypeStateIssuer
ZF0000179MedicaidNC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160509000023 NC Practitioner - Nurse Practitioner 8820397144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5229 Rock Creek Rd
Hays, NC 28635-9267
Phone (336) 696-2711

911 E Atkins St
Suite D
Dobson, NC 27017-8708
Phone (336) 374-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
201558NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh Chatham Memorial Hospital CurrentSince Sep 24, 2020 Accepting new patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Sep 24, 2020 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Current Accepting new patients

Locations

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711

Interoperability endpoints

  • Direct secure messaging: shondasmitherman@epam.allscriptsdirect.net
  • Direct secure messaging: ssmitherman@hcfme.gwaydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1447312095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E WILLOW ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550457",
            "telephone_number": "336-679-4203",
            "fax_number": "336-679-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E WILLOW ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550457",
            "telephone_number": "336-679-4203",
            "fax_number": "336-679-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHERMAN",
        "first_name": "SHONDA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "RN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "201558",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "201558",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NC",
            "license": "201558",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201558",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "201558",
            "primary": false
        },
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "NC",
            "license": "201558",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "201558",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "201558",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NC",
            "license": "201558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZF0000179",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

Verify at the official NPI Registry.