Individual provider Active NPI

Catherine Maura Smith

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1730845454
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13918 Issued in NC
Practice address
101 SW Cary Pkwy Ste 210
Cary, NC 27511-5562
Phone
(919) 467-8556
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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 0010-13918 NC Primary

Addresses

Primary practice location

101 SW Cary Pkwy Ste 210
Cary, NC 27511-5562

Mailing address

101 SW Cary Pkwy Ste 210
Cary, NC 27511-5562
Phone (919) 467-8556

Other identifiers 1

IdentifierTypeStateIssuer
0010-13918OtherNCNORTH CAROLINA MEDICAL BOARD LICENSE

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
I20241118001458 NC Practitioner - Physician Assistant 8527592286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Carolina at Chapel Hill School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Dermatology Center PAGroup PAC ID 7911981956, 9 clinicians

Practice addresses (Care Compare)

101 Cary Pkwy SW
Suite 210
Cary, NC 27511-5562

101 SW Cary Pkwy
Suite 210
Cary, NC 27511-5562
Phone (919) 467-8556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital PastSince May 26, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cmsmith@directaddress.net

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1730845454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SW CARY PKWY STE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115562",
            "telephone_number": "919-467-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SW CARY PKWY STE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115562",
            "telephone_number": "919-467-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CATHERINE",
        "middle_name": "MAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD LICENSE",
            "identifier": "0010-13918",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.