Phillip Ryan Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-962 Issued in AR

Practice address

2505 W Beebe Capps Expy
Searcy, AR 72143-4909

Phone

(501) 278-2800

NPI assigned

Aug 5, 2019

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: psmith313893@direct.metrohealth.org

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.

• White County Medical Center

  dba Unity Health Searcy Medical Center

  • Multi-Specialty Clinic/Center
  • Searcy, AR
  • NPI 1962784835
  Medicare reassignment NPD
• East Arkansas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Blytheville, AR
  • NPI 1932442985
  Medicare reassignment
• Shiloh Emergency Group PLLC

  • Emergency Medicine Physician
  • Sherwood, AR
  • NPI 1205458189
  Medicare reassignment
• WH Services Arkansas, LLC

  • Emergency Medicine Physician
  • Forrest City, AR
  • NPI 1952135949
  Medicare reassignment
• Arkansas Health Group

  dba Searcy Medical Center

  • General Practice Physician
  • Searcy, AR
  • NPI 1710942263
  NPD
• East Arkansas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Clarksville, AR
  • NPI 1609259753

  Physician Assistant

  NPD
• White County Medical Center

  dba Unity Health Newport OB/GYN

  • Obstetrics & Gynecology Physician
  • Newport, AR
  • NPI 1740940220
  NPD
• The Metrohealth System

  dba Metrohealth Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD
• The Metrohealth System

  dba Metrohealth Professional Group

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1821643024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 W BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434909",
            "telephone_number": "501-278-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 W BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434909",
            "telephone_number": "501-278-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 E Market Ave",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721495615",
            "country_code": "US",
            "telephone_number": "501-279-5642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILLIP",
        "middle_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-03-17",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261304795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Smith
• Maekellie Smith, LAC
• Meagan Nicole Smith
• Melissa Jo Smith, B.A.SLP-ASSISTANT
• Patricia Smith, RN
• R Scott Smith, DC
• Samantha Yvonne Smith, L.P.N
• Shaylee Smith
• Tiarra Smith
• Traci Renee Smith

• Physician Assistant in Searcy, AR
• Providers in Searcy, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.