John Albert Smith, D.C., CCSP,PA

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1412 Issued in NC

Practice address

2926 Capital Blvd
Raleigh, NC 27604-3235

Phone

(919) 878-8848

Fax

(919) 878-8863

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• John a Smith, DC, CCSP, PA

  • Sports Physician Chiropractor
  • Raleigh, NC
  • NPI 1689779647
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992799332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043235",
            "telephone_number": "919-878-8848",
            "fax_number": "919-878-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043235",
            "telephone_number": "919-878-8848",
            "fax_number": "919-878-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C., CCSP,PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "1412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908800",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James E Smith, D.M.D.
• Jasmine Leigh Smith, LCSW-A / LCAS-A
• Jean Charlotte Smith, MD
• Jeffrey Smith, LCAS
• Jemonie Neate Smith, MS, BCBA, LBA
• John Ballard Smith, PHARMD
• John R Smith Jr., M.D.
• Joshua Smith, MS, ATC, MHS, PA-C
• Julia Leann Smith
• Karen Earle Smith, LCSW

• Sports Physician Chiropractor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Sports Physician Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.