Justin Norwood Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05447 Issued in NC

Practice address

611 N 35TH St
Morehead City, NC 28557-3126

Phone

(252) 222-5700

Fax

(252) 222-5705

NPI assigned

Dec 30, 2014

Last updated

Dec 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diabetes and EndocrinologyGroup PAC ID 1355334467, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: justin.smith.1@20887.direct.athenahealth.com

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.

• Diabetes & Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Morehead City, NC
  • NPI 1922140169
  Medicare reassignment Care Compare group
• Beachcare Urgent and Family Medical Center, PLLC

  • Physician Assistant
  • Morehead City, NC
  • NPI 1407134323
  Medicare reassignment
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  NC

  Medicare reassignment
• East Valley Diabetes & Endocrinology PLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Gilbert, AZ
  • NPI 1871887828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1790173623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WOODS CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285579643",
            "telephone_number": "910-398-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573126",
            "telephone_number": "252-222-5700",
            "fax_number": "252-222-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUSTIN",
        "middle_name": "NORWOOD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-30",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Assessments and Treatment Services, Inc
• Brittany Lee Smith, LCSW-A
• Caleb Ryan Smith, LCMHCA
• Cari Lynn Smith, MS, RDN, LDN
• Elizabeth Thigpen Smith
• Kathryn L. Smith, MA, LPA
• Kearstyn Leigh Smith, MS
• Michael Paul Smith, LCSW
• Millard Bedford Smith, D.D.S.
• Phyllis Christine Smith, LMFTA

• Physician Assistant in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.

Verify at the official NPI Registry.