Individual provider Active NPI

Leigh Anne Smith, CNM

  • Advanced Practice Midwife
  • Winston Salem, NC
National Provider Identifier
1467950139
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
680 Issued in NC
Practice address
245 Charlois Blvd Ste C
Winston Salem, NC 27103-1507
Phone
(336) 718-6280
Fax
(336) 718-6289
NPI assigned
Jan 29, 2018
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 680 NC Primary

Addresses

Primary practice location

245 Charlois Blvd Ste C
Winston Salem, NC 27103-1507

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

114 Charlois Blvd
Winston Salem, NC 27103-1522
Phone (336) 765-5470

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsmith548459@direct.novanthealth.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190827003447 NC Practitioner - Certified Nurse Midwife (CNM) 7618205774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
680NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince May 5, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 5, 2019 Accepting new patients

Locations

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

114 Charlois Blvd
Winston Salem, NC 27103

245 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 659-4777

245 Charlois Blvd
#C
Winston Salem, NC 27103
Phone (336) 718-6280

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

2909 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 277-0340

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": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1467950139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHARLOIS BLVD STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031507",
            "telephone_number": "336-718-6280",
            "fax_number": "336-718-6289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Charlois Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031522",
            "country_code": "US",
            "telephone_number": "336-765-5470",
            "fax_number": "336-499-5428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEIGH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsmith548459@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "245 Charlois Blvd Ste C",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271031507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.