Annie Elizabeth Smith

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4178 Issued in TN

Practice address

1600 Nashville Hwy
Columbia, TN 38401-2069

Phone

(931) 626-9175

NPI assigned

Dec 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Columbia Pediatric Clinic, Inc.

  • Primary Care Clinic/Center
  • Columbia, TN
  • NPI 1023146099
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1619516366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NASHVILLE HWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NASHVILLE HWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012069",
            "telephone_number": "931-626-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Lynn Sisk
• Terri Cox Slayton, MA
• Sleep Diagnostics Center, LLC
• Sleep Ez LLC
• Lindsey Slusher, PHARMD
• Anthony Leon Smith, MD
• Daniel Smith
• Danielle Smith
• Devonna Rachelle Smith
• Gregory Allen Smith

• Medical Physician Assistant in Columbia, TN
• Providers in Columbia, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.