Individual provider Active NPI

Elizabeth Ledere Miller Smiley, PA

  • Physician Assistant
  • Summerville, SC
National Provider Identifier
1750033049
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4345 Issued in SC
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

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5283PAMedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829001180 SC Practitioner - Physician Assistant 8527442342 Reassigns benefits to 2 organizations

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
Arcis Healthcare LLCGroup PAC ID 0042448748, 34 clinicians

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

LicenseStateTypeSpecialty
4345SCMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arcis Healthcare, LLC CurrentSince Jul 18, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.