Individual provider Active NPI

Susan Loraine Smoots, FNP

  • Nurse Practitioner
  • Edenton, NC
National Provider Identifier
1902585318
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5018414 Issued in NC
Practice address
1341 Paradise Rd
Edenton, NC 27932-8503
Phone
(252) 482-7481
NPI assigned
Jul 13, 2023
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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 5018414 NC Primary
Family Medicine Physician 207Q00000X 5018414 NC

Addresses

Primary practice location

1341 Paradise Rd
Edenton, NC 27932-8503

Mailing address

263 Bingham Rd
South Mills, NC 27976-9765
Phone (919) 928-8188

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
I20230825000249 NC Practitioner - Nurse Practitioner 7416310339 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

1987 Hilton Rd
Burlington, NC 27217-2968
Phone (540) 814-5344

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 29, P.C. CurrentSince Oct 14, 2025 Accepting new patients
Universal Health Corporation CurrentSince Oct 1, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 11, 2023 Accepting new patients
NMG Health Services LLC CurrentSince Nov 2, 2024 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Nov 2, 2024 Accepting new patients

Locations

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

257 Hospital Dr NE
Ste 201
Bolivia, NC 28422

1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766

Organizations & group practices 6

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1902585318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 BINGHAM RD",
            "city": "SOUTH MILLS",
            "state": "NC",
            "postal_code": "279769765",
            "telephone_number": "919-928-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 PARADISE RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328503",
            "telephone_number": "252-482-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOOTS",
        "first_name": "SUSAN",
        "middle_name": "LORAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018414",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5018414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

Verify at the official NPI Registry.