Individual provider Active NPI

Bryana Caice Smith, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1952295651
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5022228 Issued in NC
Practice address
461 Western Blvd Ste 122
Jacksonville, NC 28546-7637
Phone
(910) 333-0283
Fax
(910) 333-0513
NPI assigned
Jun 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5022228 NC
Gerontology Nurse Practitioner 363LG0600X 5022228 NC Primary

Addresses

Primary practice location

461 Western Blvd Ste 122
Jacksonville, NC 28546-7637

Mailing address

461 Western Blvd Ste 122
Jacksonville, NC 28546-7637
Phone (910) 333-0283

Other practice location 1

312 Warren Ave
Kinston, NC 28501-3840
Phone (252) 523-0082

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
I20251103000637 NC Practitioner - Nurse Practitioner 2264921816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Casey CT
Jacksonville, NC 28540-8580

41800 W 11 Mile Rd
Suite 109
Novi, MI 48375-1818

461 Western Blvd
Suite 122
Jacksonville, NC 28546-7637

PO Box
Detroit, MI 48277

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5022228NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest M PLLC CurrentSince Dec 21, 2025 Accepting new patients
Star Medical Clinic PLLC CurrentSince Feb 27, 2026 Accepting new patients
Theoria Medical CurrentSince Jul 26, 2025 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

461 Western Blvd
Ste 122
Jacksonville, NC 28546
Phone (910) 333-0283

312 Warren Ave
Kinston, NC 28501
Phone (252) 523-0082

10506 Clear Creek Commerce Dr
Mint Hill, NC 28227
Phone (704) 545-2377

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

Organizations & group practices 4

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 1

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": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1952295651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 WESTERN BLVD STE 122",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467637",
            "telephone_number": "910-333-0283",
            "fax_number": "910-333-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 WESTERN BLVD STE 122",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467637",
            "telephone_number": "910-333-0283",
            "fax_number": "910-333-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Warren Ave",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285013840",
            "country_code": "US",
            "telephone_number": "252-523-0082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRYANA",
        "middle_name": "CAICE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5022228",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5022228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.