Individual provider Active NPI

Wanda Jones Smith, FNP

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1881695419
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201284 Issued in NC
Practice address
2334 41St St Ste 225
Wilmington, NC 28403-5502
Phone
(910) 815-3122
NPI assigned
Aug 4, 2005
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201284 NC
Family Nurse Practitioner 363LF0000X 201284 NC Primary

Addresses

Primary practice location

2334 41St St Ste 225
Wilmington, NC 28403-5502

Mailing address

2334 41St St Ste 225
Wilmington, NC 28403-5502
Phone (910) 815-3122

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061110000215 NC Practitioner - Nurse Practitioner 0143228999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Healthcare Group LLCGroup PAC ID 4587574355, 9 clinicians

Practice addresses (Care Compare)

420 Eastwood Rd
Suite 102
Wilmington, NC 28403-1866
Phone (910) 362-9311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CDT Healthcare CurrentSince Aug 1, 2018 Accepting new patients
Authoracare Collective CurrentSince Jul 22, 2024 Accepting new patients
Authoracare Collective CurrentSince Jul 22, 2024 Accepting new patients
Liberty Healthcare Group, LLC CurrentSince Apr 1, 2014 Accepting new patients
Chatham Hospital, Inc. CurrentSince Feb 10, 2012 Accepting new patients
CDT Healthcare Nurse Practitioner CurrentSince Aug 1, 2018 Accepting new patients
Chatham Medical Specialists PA Current Accepting new patients
Liberty Healthcare Group LLC CurrentSince Apr 1, 2014 Accepting new patients

Locations

914 Chapel Hill Rd
Burlington, NC 27215
Phone (336) 532-0100

2500 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

2504 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

101 Walmart Supercenter
Siler City, NC 27344
Phone (919) 663-3911

163 Medical Park Dr
Ste 210
Siler City, NC 27344
Phone (919) 742-6032

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

2334 41st St
Wilmington, NC 28403
Phone (910) 815-3122

2334 41st St
Ste 225
Wilmington, NC 28403
Phone (910) 815-3122

420 Eastwood Rd
Ste 102
Wilmington, NC 28403
Phone (910) 251-8111

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1881695419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 41ST ST STE 225",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035502",
            "telephone_number": "910-815-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 41ST ST STE 225",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035502",
            "telephone_number": "910-815-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WANDA",
        "middle_name": "JONES",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201284",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.