Tori Lane Smith, PA-C
Individual provider Active NPI Physician Assistant · Caldwell, TX
NPI 1962013185 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1962013185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA15500 (TX)
- Practice address
- 1010 Woodson Dr
Caldwell, TX 77836-1000 - Phone
- (979) 567-4900
- Fax
- (979) 567-4901
- NPI assigned
- Aug 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scott and White Clinic
Practice addresses (Care Compare)
1010 Woodson Dr
Baylor Scott and White Clinic Caldw
Caldwell, TX 77836-1000
Phone (979) 567-4900
1280 Arrington Rd
Suite 200
College Station, TX 77845-8696
Phone (979) 207-6550
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
1700 University Dr E
College Station, TX 77840-2661
Phone (979) 691-3300
1700 University Dr E Entrance 16
Care Clinic College Station University Dr
College Station, TX 77840-2661
Phone (979) 207-3636
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
604 Hwy 290 W
Baylor Scott and White Clinic Brenh
Brenham, TX 77833-5432
Phone (979) 337-5400
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
- Baylor Scott & White Medical Center- College Stati
- Baylor Scott & White Medical Center - Temple
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220309002014 | TX | Practitioner - Physician Assistant | 3476948498 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Interoperability endpoints
- tsmith322289@direct.sw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15500 | TX | Yes |
Addresses
Primary practice location
1010 Woodson Dr
Caldwell, TX 77836-1000
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
110 Highway 290 W
Brenham, TX 77833-9165
Phone (979) 830-5584
Other practice location 2
915 E Market Ave
Searcy, AR 72149-5615
Phone (501) 279-5642
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8SM356 | Other | TX | BCBS PROVIDER ID |
| 1962013185 | Medicaid | TX |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tsmith322289@direct.sw.org | Direct |
Other providers in Caldwell, TX
- Lensey Ragnes
- Alyson Patrice Rockhold
- Amanda Rose
- Kevin James Shimek
- Shirley Ann Smith
- St. Joseph Regional Health Center
- Del Barker Stigler
- Ten Broeck Tennessee Physicians
- The Copperas Hollow, LLC
- John Maxwell Todd
All providers in Caldwell, TX · Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.