NPIMap

Individual provider Active NPI

Nicholas Lee Smith, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Madison, WV
National Provider Identifier
1841476231
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1232 Issued in WV
Practice address
660A S Main St
Madison, WV 25130-1245
Phone
(304) 369-1230
Fax
(304) 850-3352
NPI assigned
Jan 15, 2008
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 1232 WV Primary
Medical Physician Assistant 363AM0700X 01232 WV

Addresses

Primary practice location

660A S Main St
Madison, WV 25130-1245

Mailing address

660A S Main St
Madison, WV 25130-1245
Phone (304) 369-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20130916000581 WV Practitioner - Physician Assistant 2961646898 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County Primary Care Center IncGroup PAC ID 6204821879, shared by 25 NPIs, 40 clinicians

Practice addresses (Care Compare)

471 Main St
Madison, WV 25130-1223
Phone (304) 369-5170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01232WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Primary Care Center, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Madison Medical, PLLC Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Feb 5, 2018 Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Aug 14, 2023 Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Feb 5, 2018 Accepting new patients
Lincoln County Primary Care Center, Inc CurrentSince Feb 5, 2018 Accepting new patients

Locations

7400 Lynn Ave
Hamlin, WV 25523

122 Nick Savas Dr
Logan, WV 25601
Phone (304) 752-8081

467 Main St
Ste 200
Madison, WV 25130
Phone (304) 369-5170

471 Main St
Madison, WV 25130
Phone (304) 369-5170

650 E McDonald Ave
Man, WV 25635
Phone (304) 583-8585

1563 Sand Plant Rd
South Charleston, WV 25309
Phone (304) 756-1500

Interoperability endpoints

  • Direct secure messaging: nicholas.smith.1@6401.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1841476231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660A S MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301245",
            "telephone_number": "304-369-1230",
            "fax_number": "304-850-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660A S MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301245",
            "telephone_number": "304-369-1230",
            "fax_number": "304-850-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLAS",
        "middle_name": "LEE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1232",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WV

Sources for this page

Verify at the official NPI Registry.