MRS. MADILYN GRAY SMITH (NPI# 1407307598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407307598 |
| Entity Type | Individual |
| Full Name | MRS. MADILYN GRAY SMITH |
| Credential | PA-C |
| Practice Address |
935 Shotwell Rd Ste 108 Clayton NC 27520-5598 |
| Mailing Address |
4105 Harvest Glen Ct Fuquay Varina NC 27526-7505 |
| Practice Telephone | 9195500821 |
| Practice Fax Number | 9198900366 |
| Mailing Telephone | 9108905818 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-06744 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589779 | Madilyn Aubrey Smith | Chiropractor | 608 Moreland Ave Ne, Atlanta, GA 30307-1425 | 2020-05-11 |
| 1831575224 | Madilyn Smith | Physical Therapy Assistant | 231 Treetop Dr, Fayetteville, NC 28311-0606 | 2015-08-07 |
| Street Address |
935 SHOTWELL RD STE 108 |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-5598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992823082 | Lora D Davis | Nurse Practitioner | 935 Shotwell Rd Ste 108, Clayton, NC 27520-5598 | 2007-03-27 |
| 1528542693 | Fastmed Health Nc, Pllc | Internal Medicine | 935 Shotwell Rd Ste 108, Clayton, NC 27520-5598 | 2018-09-24 |
| 1205370988 | Jerome C Newkirk Jr. | Physician Assistant | 935 Shotwell Rd Ste 108, Clayton, NC 27520-5598 | 2016-12-14 |
| 1902239981 | Joseph Murphy | Physician Assistant | 935 Shotwell Rd Ste 108, Clayton, NC 27520-5598 | 2013-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1417043696 | Ernest B Perkins | Physician Assistant | 109 Stanley Road, Clayton, OK 74536 | 2006-10-05 |
| 1801814124 | Mary Katrina Padgett | Physician Assistant | 11491 Us Highway 70 W, Clayton, NC 27520-2207 | 2006-07-17 |
| 1417946930 | Russell E Cotton | Physician Assistant | 7 Western Byp, Clayton, AL 36016-2013 | 2005-10-18 |
| 1548807613 | Amanda Baebler | Physician Assistant | 6420 Clayton Rd, Clayton, MO 63117-1811 | 2019-12-07 |
| 1205370988 | Jerome C Newkirk Jr. | Physician Assistant | 935 Shotwell Rd Ste 108, Clayton, NC 27520-5598 | 2016-12-14 |
| 1548717267 | Amy Elizabeth Purvis | Physician Assistant | 935 Shotwell Rd, St 108, Clayton, NC 27520 | 2016-09-10 |
| 1134587645 | Katie Marie Gould | Physician Assistant | 935 Shotwell Rd, Suite 108, Clayton, NC 27520-5597 | 2016-01-29 |
| 1730545500 | Alexa Carda | Physician Assistant | 301 Amos St, Clayton, NC 27520-2644 | 2016-01-11 |
| 1164825956 | Kyle J Pusey | Physician Assistant | 2076 Nc Highway 42 W, Ste 100, Clayton, NC 27520-5302 | 2014-10-07 |
| Find all providers in CLAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.