Individual provider Active NPI

Joyce S Smith, NP-C

  • Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1508985904
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
005001811 Issued in NC
Practice address
1100 E Ash St
Goldsboro, NC 27530-5102
Phone
(919) 734-0944
Fax
(919) 734-1921
NPI assigned
Mar 28, 2007
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 005001811 NC Primary

Addresses

Primary practice location

1100 E Ash St
Goldsboro, NC 27530-5102

Mailing address

PO Box 1399
1100 E Ash St
Goldsboro, NC 27533-1399
Phone (919) 734-0944

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
I20130312000306 NC Practitioner - Nurse Practitioner 0941455265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Brody School of Medicine at East Carolina University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outer Banks DermatologyGroup PAC ID 3476617614, 2 clinicians

Practice addresses (Care Compare)

2405 S Croatan Hwy
Nags Head, NC 27959-9015
Phone (252) 441-7546

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005001811NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Dermatology and Cosmetic Surgery PA CurrentSince Dec 15, 2012 Accepting new patients
Outer Banks Dermatology CurrentSince Oct 1, 2020 Accepting new patients

Locations

1100 E Ash St
Goldsboro, NC 27530
Phone (252) 243-0566

2405 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 441-7546

Interoperability endpoints

  • Direct secure messaging: jsmith@outerbanksderm.emadirect.md

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, 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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1508985904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1399",
            "address_2": "1100 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275331399",
            "telephone_number": "919-734-0944",
            "fax_number": "919-734-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305102",
            "telephone_number": "919-734-0944",
            "fax_number": "919-734-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOYCE",
        "middle_name": "S",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "005001811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.