Individual provider Active NPI

Lauren Perkins Smith, DNP

  • Nurse Practitioner
  • Summerfield, NC
National Provider Identifier
1619854213
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5023073 Issued in NC
Practice address
4431 US Highway 220 N
Summerfield, NC 27358-9411
Phone
(336) 643-7711
Fax
(336) 643-3047
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 5023073 NC Primary

Addresses

Primary practice location

4431 US Highway 220 N
Summerfield, NC 27358-9411

Mailing address

4431 US Highway 220 N
Summerfield, NC 27358-9411
Phone (336) 643-7711

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
I20251201001501 NC Practitioner - Nurse Practitioner 3072006931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Brody School of Medicine at East Carolina University, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

4431 US Hwy 220 N
Summerfield, NC 27358-9411
Phone (336) 643-7711

Hospital & facility affiliations

  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5023073NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network LLC Current Accepting new patients
Wake Forest Health Network LLC Family Medicine CurrentSince Dec 8, 2025 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Dec 8, 2025 Accepting new patients
Wake Forest Health Network LLC Family Medicine Past Accepting new patients

Locations

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

4431 US Highway 220 N
Summerfield, NC 27358
Phone (336) 643-7711

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1619854213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 US HIGHWAY 220 N",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589411",
            "telephone_number": "336-643-7711",
            "fax_number": "336-643-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 US HIGHWAY 220 N",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589411",
            "telephone_number": "336-643-7711",
            "fax_number": "336-643-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAUREN",
        "middle_name": "PERKINS",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5023073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, NC

Sources for this page

Verify at the official NPI Registry.