Active NPI
Elizabeth Ledere Miller Smiley, PA
- Physician Assistant
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4345
- Practice address
- 9500 Dorchester Rd Ste 362
Summerville, SC 29485-4304 - Phone
- (843) 212-8080
- Fax
- (843) 212-8091
- NPI assigned
- Jan 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4345 | SC | Primary |
| Surgical Physician Assistant | 363AS0400X | 4345 | SC |
Addresses
Primary practice location
9500 Dorchester Rd Ste 362
Summerville, SC 29485-4304
Mailing address
PO Box 632516
Cincinnati, OH 45263-2516
Phone (888) 472-0043
Other practice location 1
2880 Tricom St
N Charleston, SC 29406-9171
Phone (843) 797-5050
Other practice location 2
1291 Sumner Ave
North Charleston, SC 29406-3849
Phone (843) 330-1479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5283PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050
9500 Dorchester Rd
Suite 362
Summerville, SC 29485-4304
Phone (843) 958-2555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4345 | SC | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcis Healthcare, LLC | Current | Accepting new patients |
Locations
2880 Tricom St
North Charleston, SC 29406
Phone (843) 797-5050
93 Springview Ln
Unit B
Summerville, SC 29485
Phone (843) 266-4883
130 E 3rd North St
Summerville, SC 29483
Phone (843) 797-5050
Interoperability endpoints
- elizabeth.smiley.1@7388.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- North Charleston, SC
- NPI 1902246077
-
dba Roper St. Francis Physician Partners General Surgery
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
dba Lowcountry Orthopaedics & Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Ladson, SC
- NPI 1881406767
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1750033049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632516",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632516",
"telephone_number": "888-472-0043",
"fax_number": "513-653-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 DORCHESTER RD STE 362",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294854304",
"telephone_number": "843-212-8080",
"fax_number": "843-212-8091"
}
],
"practiceLocations": [
{
"address_1": "2880 Tricom St",
"address_purpose": "LOCATION",
"city": "N Charleston",
"state": "SC",
"postal_code": "294069171",
"country_code": "US",
"telephone_number": "843-797-5050",
"fax_number": "843-797-3633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1291 Sumner Ave",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294063849",
"country_code": "US",
"telephone_number": "843-330-1479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMILEY",
"first_name": "ELIZABETH",
"middle_name": "LEDERE MILLER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-19",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "4345",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "4345",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5283PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.