NPIMap

Individual provider Active NPI

Ty Smith, PA

  • Physician Assistant
  • Albemarle, NC
National Provider Identifier
1811769599
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5123 Issued in SC
Practice address
1908 Hilco St Ste B
Albemarle, NC 28001-6388
Phone
(704) 983-3855
Fax
(704) 985-1031
NPI assigned
Oct 25, 2023
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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 5123 SC Primary

Addresses

Primary practice location

1908 Hilco St Ste B
Albemarle, NC 28001-6388

Mailing address

1908 Hilco St Ste B
Albemarle, NC 28001-6388
Phone (704) 983-3855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231202000183 SC Practitioner - Physician Assistant 5294183125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

11 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-4506

2 Medical Park Rd
Suite 506
Columbia, SC 29203-6876
Phone (803) 540-1000

7 Richland Medical Park Dr
Columbia, SC 29203-6863

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
71.27

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 26, 2024 Accepting new patients
Self Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 26, 2024 Accepting new patients
Central Carolina Medical Associates, PA PastSince Jul 7, 1997 Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

8 Richland Medical Park Dr
Ste 400
Columbia, SC 29203
Phone (803) 296-7305

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

421 Epting Ave
Greenwood, SC 29646
Phone (864) 227-6818

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: tsmith809750@direct.ghs.myhfn.org

Organizations & group practices 6

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 9

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1811769599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 HILCO ST STE B",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280016388",
            "telephone_number": "704-983-3855",
            "fax_number": "704-985-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 HILCO ST STE B",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280016388",
            "telephone_number": "704-983-3855",
            "fax_number": "704-985-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.