Individual provider Active NPI

Sarah Alaine Smoot, PA

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1639809478
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1193586 Issued in NC
Practice address
1121 N Church St
Greensboro, NC 27401-1007
Phone
(336) 832-7000
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1193586 NC Primary

Addresses

Primary practice location

1121 N Church St
Greensboro, NC 27401-1007

Mailing address

5500 Nightwood Dr
Randleman, NC 27317-9474
Phone (336) 312-5910

Other practice location 1

2630 Willard Dairy Rd
High Point, NC 27265-8351
Phone (336) 884-3777

Other practice location 2

618 S Main St
Reidsville, NC 27320-5020
Phone (336) 951-4000

Other practice location 3

2400 W Friendly Ave
Greensboro, NC 27403-1109
Phone (336) 832-1000

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
I20220829001082 NC Practitioner - Physician Assistant 8729462544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 716-2255

2400 W Friendly Ave
Greensboro, NC 27403-1109
Phone (336) 716-2255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1193586NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Hospital Inc. PastSince Jun 21, 2022 Accepting new patients
Piedmont Stone Center PLLC PastSince Jun 21, 2022 Accepting new patients

Organizations & group practices 3

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 1

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1639809478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NIGHTWOOD DR",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179474",
            "telephone_number": "336-312-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011007",
            "telephone_number": "336-832-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 Willard Dairy Rd",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658351",
            "country_code": "US",
            "telephone_number": "336-884-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 S Main St",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273205020",
            "country_code": "US",
            "telephone_number": "336-951-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 W Friendly Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031109",
            "country_code": "US",
            "telephone_number": "336-832-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOOT",
        "first_name": "SARAH",
        "middle_name": "ALAINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "1193586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.