Individual provider Active NPI

Amy L Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
National Provider Identifier
1689676173
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
522867 Issued in NY
Practice address
1000 Blythe Blvd
Carolinas Medical Center - Anesthesiology
Charlotte, NC 28203
Phone
(704) 355-2000
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 522867 NY Primary

Addresses

Primary practice location

1000 Blythe Blvd
Carolinas Medical Center - Anesthesiology
Charlotte, NC 28203

Mailing address

13901 Shanghai Links PL
Charlotte, NC 28278-8407
Phone (704) 910-5592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080915000310 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870582257 Reassigns benefits to 5 organizations
I20171013000180 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870582257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Gastroenterology and Hepatology PLLCGroup PAC ID 3870489412, shared by 3 NPIs, 76 clinicians

Practice addresses (Care Compare)

2015 Randolph Rd
Suite 208
Charlotte, NC 28207-1200
Phone (704) 377-4009

Merit-based Incentive Payment System (MIPS)

Final score
95.22 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
84.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
522867NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2021 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 18, 2025 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Feb 1, 2022 Accepting new patients
Carolina Regional Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2021 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Feb 1, 2022 Accepting new patients
Greenwich Medical Anesthesia, P.C. Past Accepting new patients
Pain Management & Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Carolina Digestive Health Associates, PA PastSince Oct 29, 2023 Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544

2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647

2015 Randolph Rd
Ste 208
Charlotte, NC 28207
Phone (704) 602-6544

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

13808 Professional Center Dr
Huntersville, NC 28078
Phone (704) 717-5549

115 Commerce Pointe Blvd
Mooresville, NC 28117
Phone (423) 343-7032

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

108 Healthcare Dr
Lancaster, SC 29720
Phone (803) 286-9963

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

Organizations & group practices 9

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1689676173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 SHANGHAI LINKS PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282788407",
            "telephone_number": "704-910-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "CAROLINAS MEDICAL CENTER - ANESTHESIOLOGY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28203",
            "telephone_number": "704-355-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "522867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.