Individual provider Active NPI

Elizabeth A Smith, NP

  • Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1962524017
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
131283 Issued in TN
Practice address
121 Boone Ridge Dr Ste 1004
Johnson City, TN 37615-4993
Phone
(423) 794-5988
Fax
(423) 794-5988
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 131283 TN Primary

Addresses

Primary practice location

121 Boone Ridge Dr Ste 1004
Johnson City, TN 37615-4993

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 794-5988

Other practice location 1

390 Kane St
Gate City, VA 24251-2753
Phone (276) 386-3411

Other identifiers 1

IdentifierTypeStateIssuer
3341194MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070822001305 TN Practitioner - Nurse Practitioner 8628160652 Reassigns benefits to 2 organizations
I20250625003289 VA Practitioner - Nurse Practitioner 8628160652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boones Creek Medical PLLCGroup PAC ID 6507969631, 3 clinicians
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

1000 W Jackson Blvd
Suite 5 6
Jonesborough, TN 37659-5397
Phone 4232820636803

301 Med Tech Pkwy
Johnson City, TN 37604-2364
Phone (423) 794-5500

390 Kane St
Gate City, VA 24251-2753
Phone (276) 386-3411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131283TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC CurrentSince Jan 29, 2023 Accepting new patients
Boones Creek Medical PLLC CurrentSince Jan 1, 2010 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Feb 1, 2023 Accepting new patients
Boiling Spring Lakes Family Medicine, PC Past Accepting new patients
Wellmont Physician Services Inc Nurse Practitioner Past Accepting new patients
Emergency Care Physicians, Inc. Past Accepting new patients
Johnson City Emergency Physicians, PC Nurse Practitioner Past Accepting new patients
Medical Specialists of Johnson City Past Accepting new patients

Locations

303 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 282-5611

5 Worth Cir
Ste 4
Johnson City, TN 37601
Phone (423) 282-4819

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

303 Med Tech Pkwy
Ste 150
Johnson City, TN 37604
Phone (423) 282-8070

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

301 Med Tech Pkwy
Ste 240
Johnson City, TN 37604
Phone (423) 794-5520

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

301 Med Tech Pkwy
Ste 120
Johnson City, TN 37604
Phone (423) 794-5590

301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239

121 Boone Ridge Dr
Ste 1004
Johnson City, TN 37615
Phone (423) 282-0520

1000 W Jackson Blvd
Ste 5
Jonesborough, TN 37659
Phone (423) 753-7070

1000 W Jackson Blvd
Ste 56
Jonesborough, TN 37659
Phone (423) 282-0636

444 Clinchfield St
Ste 201
Kingsport, TN 37660
Phone (423) 230-2100

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

390 Kane St
Gate City, VA 24251
Phone (276) 386-3411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16348/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14317/brand/1/csg/1/fhir/r4
  • Direct secure messaging: elizabeth.smith.1@14317.direct.athenahealth.com
  • Direct secure messaging: elizabethsmith@sofha.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 6

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1962524017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632476",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632476",
            "telephone_number": "423-794-5988",
            "fax_number": "423-232-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BOONE RIDGE DR STE 1004",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154993",
            "telephone_number": "423-794-5988",
            "fax_number": "423-794-5988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Kane St",
            "address_purpose": "LOCATION",
            "city": "Gate City",
            "state": "VA",
            "postal_code": "242512753",
            "country_code": "US",
            "telephone_number": "276-386-3411",
            "fax_number": "276-386-3492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "131283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341194",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.