Active NPI
Kemecia T Smith
- Physician Assistant
- Norfolk, VA
National Provider Identifier
1518736586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110010957
- Practice address
- 885 Kempsville Rd Ste 114
Norfolk, VA 23502-3800 - Phone
- (757) 466-0165
- Fax
- (757) 466-9082
- NPI assigned
- Jan 1, 2024
- Last updated
- Apr 7, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110010957 | VA | Primary |
Addresses
Primary practice location
885 Kempsville Rd Ste 114
Norfolk, VA 23502-3800
Mailing address
885 Kempsville Rd Ste 114
Norfolk, VA 23502-3800
Phone (757) 466-0165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Eastern Virginia Medical School, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
885 Kempsville Rd
Suite 114
Norfolk, VA 23502-3800
Phone (757) 466-0165
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110010957 | VA | MD | Physician Assistant |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1992752521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1518736586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 KEMPSVILLE RD STE 114",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023800",
"telephone_number": "757-466-0165",
"fax_number": "757-466-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 KEMPSVILLE RD STE 114",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023800",
"telephone_number": "757-466-0165",
"fax_number": "757-466-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KEMECIA",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-01",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110010957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.