Individual provider Active NPI

Daniel Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
National Provider Identifier
1871961573
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
108859 Issued in NC
Practice address
Medical Center Blvd
Winston-Salem, NC 27157-0001
Phone
(336) 716-2255
NPI assigned
Sep 11, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 108859 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston-Salem, NC 27157-0001

Mailing address

616 Lynnhaven Park Dr
Winston Salem, NC 27107-9754
Phone (770) 337-5633

Other practice location 1

1370 W D St
North Wilkesboro, NC 28659-3506
Phone (336) 651-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160104000777 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032411319 Reassigns benefits to 23 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Twin City Anesthesia PLLCGroup PAC ID 8022357938, 4 clinicians

Practice addresses (Care Compare)

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 277-8800

402 W King St
King, NC 27021-9170
Phone (336) 983-9617

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
108859NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Oct 2, 2017 Accepting new patients
Medical Park Hospital LLC CurrentSince Apr 13, 2020 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 20, 2020 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC CurrentSince Apr 13, 2020 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2020 Accepting new patients
The Presbyterian Hospital CurrentSince Apr 13, 2020 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Twin City Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2019 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2020 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Apr 13, 2020 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
Western Carolina Sedation Associates, LLC Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Nov 30, 2022 Accepting new patients
Iredell Memorial Hospital Incorporated CurrentSince Sep 1, 2024 Accepting new patients
Iredell Memorial Hospital, Incorporated Current Accepting new patients
Triad Sedation Associates, LLC Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2020 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Apr 13, 2020 Accepting new patients
Piedmont Triad Anesthesia, PA Anesthesiology CurrentSince May 27, 2019 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2020 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2020 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Medical Park Hospital LLC CurrentSince Apr 13, 2020 Accepting new patients
Iredell Memorial Hospital, Incorporated CurrentSince Sep 1, 2024 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Nov 30, 2022 Accepting new patients
Carolina Anesthesiology, PA Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Apr 20, 2020 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jun 5, 2018 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2020 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Jul 15, 2018 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2020 Accepting new patients
The Presbyterian Hospital CurrentSince Apr 13, 2020 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Jul 15, 2018 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Apr 13, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2020 Accepting new patients

Locations (25 of 34)

112 Kinderton Blvd
#100
Advance, NC 27006
Phone (336) 765-0155

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

1570 NC 8 and 89 Hwy N
Danbury, NC 27016
Phone (336) 593-2831

1141 N Road St
#1
Elizabeth City, NC 27909
Phone (252) 338-0101

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300

401 Ferndale Blvd
High Point, NC 27262
Phone (336) 882-2567

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

280 Broad St
Ste F
Kernersville, NC 27284
Phone (336) 765-6312

402 W King St
King, NC 27021
Phone (336) 529-4304

434 Kirby Rd
King, NC 27021

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223

Organizations & group practices 38

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.

View all 38

Hospital & facility affiliations 1

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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871961573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 LYNNHAVEN PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271079754",
            "telephone_number": "770-337-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 W D St",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593506",
            "country_code": "US",
            "telephone_number": "336-651-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "108859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.