Active NPI
Timothy Chester Smith, FNP
- Nurse Practitioner
- Asheboro, NC
National Provider Identifier
1508710328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5024314
- Practice address
- 610 N Fayetteville St Ste 111
Asheboro, NC 27203-4671 - Phone
- (336) 308-2560
- NPI assigned
- Feb 26, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5024314 | NC | Primary |
| Pain Medicine Physician | 208VP0000X | 1295362002 | NC |
Addresses
Primary practice location
610 N Fayetteville St Ste 111
Asheboro, NC 27203-4671
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
610 N Fayetteville St
Asheboro, NC 27203-4670
Phone (336) 308-2560
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179
PO Box
Charlotte, NC 28260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1295362002 | NC | MD | Pain Medicine Physician |
Organizations & group practices 1
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1508710328",
"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": "610 N FAYETTEVILLE ST STE 111",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272034671",
"telephone_number": "336-308-2560"
}
],
"practiceLocations": [
{
"address_1": "610 N Fayetteville St",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272034670",
"country_code": "US",
"telephone_number": "336-308-2560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "TIMOTHY",
"middle_name": "CHESTER",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-26",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5024314",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "NC",
"license": "1295362002",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.