Active NPI
Ally Kiersten Knight Smoak, PA-C
- Physician Assistant
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5499
- Practice address
- 602 N Main St
Summerville, SC 29483-6627 - Phone
- (843) 881-4440
- Fax
- (843) 225-0110
- NPI assigned
- Jan 31, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5499 | SC | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
602 N Main St
Summerville, SC 29483-6627
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other practice location 1
1814 Crowne Commons Way Ste E7
Johns Island, SC 29455-4932
Phone (843) 881-4440
Other practice location 2
612 Seacoast Pkwy
MT Pleasant, SC 29464-8247
Phone (843) 881-4440
Other names 1
- Ally Kiersten Knight
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
602 N Main St
Summerville, SC 29483-6627
Phone (843) 881-4440
612 Seacoast Pkwy
Mt Pleasant, SC 29464-8247
Phone (843) 881-4440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5499 | SC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Past | Accepting new patients |
Locations
1814 Crowne Commons Way
Ste E7
Johns Island, SC 29455
Phone (843) 881-4440
612 Seacoast Pkwy
Mt Pleasant, SC 29464
Phone (843) 881-4440
602 N Main St
Summerville, SC 29483
Phone (843) 876-2121
801 York St
Manitowoc, WI 54220
Phone (866) 630-9882
Bin 88617
Milwaukee, WI 53288
Interoperability endpoints
- aknight@directaddress.net
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 and National Provider Directory roles.
-
- Dermatology Physician
- Mt Pleasant, SC
- NPI 1295577922
-
- Dermatology Physician
- Columbus, OH
- NPI 1063365385
-
- Dermatology Physician
- Manitowoc, WI
- NPI 1578515904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1508629858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204630",
"telephone_number": "920-663-9008",
"fax_number": "920-684-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N MAIN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836627",
"telephone_number": "843-881-4440",
"fax_number": "843-225-0110"
}
],
"practiceLocations": [
{
"address_1": "1814 Crowne Commons Way Ste E7",
"address_purpose": "LOCATION",
"city": "Johns Island",
"state": "SC",
"postal_code": "294554932",
"country_code": "US",
"telephone_number": "843-881-4440",
"fax_number": "843-737-5288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "612 Seacoast Pkwy",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "SC",
"postal_code": "294648247",
"country_code": "US",
"telephone_number": "843-881-4440",
"fax_number": "843-884-8540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMOAK",
"first_name": "ALLY",
"middle_name": "KIERSTEN KNIGHT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-31",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5499",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLY",
"last_name": "KNIGHT",
"middle_name": "KIERSTEN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.