Individual provider Active NPI

Caroline Smith Ghee, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1558072108
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1975 Issued in AL
Practice address
1120 19TH St NW Ste 420
Washington, DC 20036-3606
Phone
(202) 955-6995
Fax
(202) 955-3908
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1975 AL Primary
Physician Assistant 363A00000X PA200002073 DC

Addresses

Primary practice location

1120 19TH St NW Ste 420
Washington, DC 20036-3606

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291

Other practice location 1

32 Church St
Mountain Brk, AL 35213-3702
Phone (205) 276-0885

Other names 1

  • Caroline Alexandra Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240206002197 AL Practitioner - Physician Assistant 3870936990
I20250224002401 DC Practitioner - Physician Assistant 3870936990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of 19TH Street LLCGroup PAC ID 2567626567, 5 clinicians

Practice addresses (Care Compare)

1120 19TH St NW
Suite 420
Washington, DC 20036-3606
Phone (202) 955-6995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1975ALMDMental Health Counselor
PA200002073DCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HGD, Inc CurrentSince Dec 13, 2022 Accepting new patients

Locations

32 Church St
Mountain Brk, AL 35213
Phone (205) 276-0885

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1558072108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 19TH ST NW STE 420",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363606",
            "telephone_number": "202-955-6995",
            "fax_number": "202-955-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Church St",
            "address_purpose": "LOCATION",
            "city": "Mountain Brk",
            "state": "AL",
            "postal_code": "352133702",
            "country_code": "US",
            "telephone_number": "205-276-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHEE",
        "first_name": "CAROLINE",
        "middle_name": "SMITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1975",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA200002073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "SMITH",
            "middle_name": "ALEXANDRA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.