Individual provider Active NPI

Allan Royal Smith III, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Boone, NC
National Provider Identifier
1881696748
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
59492 Issued in NC
Practice address
336 Deerfield Rd
Boone, NC 28607-5008
Phone
(336) 999-8888
NPI assigned
Aug 11, 2005
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD442844 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD23248 ME
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 59492 NC Primary

Addresses

Primary practice location

336 Deerfield Rd
Boone, NC 28607-5008

Mailing address

PO Box 30369
Winston Salem, NC 27130-0369
Phone (336) 999-8888

Other practice location 1

1800 S Hawthorne Rd Ste 100
Winston Salem, NC 27103-4014
Phone (336) 999-8888

Other identifiers 1

IdentifierTypeStateIssuer
1881686748MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050120000051 NC Practitioner - Pathology 8729036140
I20140724000445 PA Practitioner - Pathology 8729036140 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59492NCMDAnatomic Pathology & Clinical Pathology Physician
MD442844PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Allegheny Clinic Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2014 Accepting new patients
Steward Medical Group Inc. CurrentSince May 1, 2017 Accepting new patients

Locations

2320 Highland Rd
Hermitage, PA 16148
Phone (724) 983-5900

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Organizations & group practices 5

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1881696748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30369",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271300369",
            "telephone_number": "336-999-8888",
            "fax_number": "336-999-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075008",
            "telephone_number": "336-999-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 S Hawthorne Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271034014",
            "country_code": "US",
            "telephone_number": "336-999-8888",
            "fax_number": "336-999-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALLAN",
        "middle_name": "ROYAL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD442844",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ME",
            "license": "MD23248",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "59492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881686748",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.