Individual provider Active NPI

Teresa Wells Smith, ARNP

  • Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1932108099
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201973 Issued in NC
Practice address
521 Moye Blvd
Greenville, NC 27834-2849
Phone
(252) 744-1600
Fax
(252) 744-1115
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201973 NC Primary

Addresses

Primary practice location

521 Moye Blvd
Greenville, NC 27834-2849

Mailing address

3355 Bear Grass Rd
Williamston, NC 27892-8277
Phone (252) 809-6400

Other practice location 1

102 Medical Dr
Williamston, NC 27892-2156
Phone (252) 809-6400

Other identifiers 1

IdentifierTypeStateIssuer
7003679MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ts57284@direct.ecuhealth.com Health Information Exchange (HIE)

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
I20050511000800 NC Practitioner - Nurse Practitioner 5698715308 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Carolina UniversityGroup PAC ID 0244143246, 499 clinicians

Practice addresses (Care Compare)

521 A Moye Blvd
Greenville, NC 27834-2849
Phone (252) 744-1111

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
201973NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Current Accepting new patients
East Carolina University CurrentSince Jan 1, 2025 Accepting new patients
Williamston Clinic Corp Nurse Practitioner CurrentSince Jun 1, 2012 Accepting new patients
Roanoke Medical Associates, PA CurrentSince Apr 1, 2005 Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 20, 2023 Accepting new patients
East Carolina University PastSince Jan 1, 2025 Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

521 Moye Blvd
#A
Greenville, NC 27834
Phone (252) 744-1111

521 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1600

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

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

104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300

102 Medical Dr
Williamston, NC 27892
Phone (252) 792-0022

239 Green St
Williamston, NC 27892
Phone (252) 792-0022

Interoperability endpoints

  • Direct secure messaging: teresa_smith_fnp@yourcarecommunity.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1932108099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BEAR GRASS RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278928277",
            "telephone_number": "252-809-6400",
            "fax_number": "252-809-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MOYE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342849",
            "telephone_number": "252-744-1600",
            "fax_number": "252-744-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "NC",
            "postal_code": "278922156",
            "country_code": "US",
            "telephone_number": "252-809-6400",
            "fax_number": "252-809-6409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERESA",
        "middle_name": "WELLS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003679",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ts57284@direct.ecuhealth.com",
            "affiliation": "N",
            "endpointDescription": "ECU Physicians",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "521 Moye Blvd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.