Individual provider Active NPI

Pamela Smith

  • Speech-Language Pathologist
  • Stony Point, NC
National Provider Identifier
1912111469
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14301 Issued in NC
Practice address
151 W Valley LN
Stony Point, NC 28678-9458
Phone
(267) 971-6633
NPI assigned
May 10, 2007
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202005453 VA
Speech-Language Pathologist 235Z00000X 14301 NC Primary

Addresses

Primary practice location

151 W Valley LN
Stony Point, NC 28678-9458

Mailing address

151 W Valley LN
Stony Point, NC 28678-9458
Phone (267) 971-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220412001334 NC Practitioner - Qualified Speech Language Pathologist 2769759893 Reassigns benefits to 2 organizations
Practice locations: Jamestown, NC
I20230905002022 FL Practitioner - Qualified Speech Language Pathologist 2769759893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Jamestown, NC 27282
Phone (703) 829-9000

1920 W Potomac Ave
Chicago, IL 60622-3149

303 N Hurstbourne Pkwy
Suite 200
Louisville, KY 40222-5158

4600 Crowne Lake Cir
Apt 3H
Jamestown, NC 27282-7915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA19873VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Feb 13, 2023 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Feb 13, 2023 Accepting new patients
Monarch All Health, LLC CurrentSince May 16, 2023 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

151 NW 11th St
Ste W201
Homestead, FL 33030
Phone (305) 595-2141

2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1912111469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W VALLEY LN",
            "city": "STONY POINT",
            "state": "NC",
            "postal_code": "286789458",
            "telephone_number": "267-971-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W VALLEY LN",
            "city": "STONY POINT",
            "state": "NC",
            "postal_code": "286789458",
            "telephone_number": "267-971-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005453",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.