Individual provider Active NPI

Felecia Morgan Smith, PA-C

  • Physician Assistant
  • Beckley, WV
National Provider Identifier
1497180285
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1754 Issued in WV
Practice address
321 S Eisenhower Dr
Beckley, WV 25801-5849
Phone
(304) 256-6500
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1754 WV Primary

Addresses

Primary practice location

321 S Eisenhower Dr
Beckley, WV 25801-5849

Mailing address

37456 Coal River Rd
Whitesville, WV 25209-9077
Phone (304) 854-1323

Other practice location 1

1014 Johnstown Rd
Beckley, WV 25801-4940
Phone (304) 252-4433

Other identifiers 1

IdentifierTypeStateIssuer
1754OtherWVWVBOM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20170228000157 WV Order and Referring Only - Physician Assistant 8426281700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1754WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Psychiatric Services PLLC Physician Assistant PastSince Sep 1, 2016 Accepting new patients
Ahmed D Faheem Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: felecia.smith@wvafn.hcadirect.net

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1497180285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37456 COAL RIVER RD",
            "city": "WHITESVILLE",
            "state": "WV",
            "postal_code": "252099077",
            "telephone_number": "304-854-1323",
            "fax_number": "304-854-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015849",
            "telephone_number": "304-256-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 Johnstown Rd",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258014940",
            "country_code": "US",
            "telephone_number": "304-252-4433",
            "fax_number": "304-252-1703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FELECIA",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WVBOM",
            "identifier": "1754",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.