ELVIS GODFREY SMITH (NPI# 1710333083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710333083 |
| Entity Type | Individual |
| Full Name | ELVIS GODFREY SMITH |
| Credential | PA |
| Practice Address |
2165 Medical Park Dr Hickory NC 28602-8809 |
| Practice Telephone | 8283242800 |
| Mailing Telephone | 8283242800 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2019-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-08541 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1168 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2165 MEDICAL PARK DR |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-8809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336121631 | Timothy H Kirkland | Orthopaedic Surgery | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2005-11-14 |
| 1104391440 | John Robert Maney | Occupational Therapist | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2018-10-12 |
| 1356798839 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 2165 Medical Park Dr, Hickory, NC 28602 | 2016-05-16 |
| 1891188850 | Deborah Hicks | Nurse Practitioner | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2015-03-13 |
| 1003215120 | Nathan D Watts | Physical Therapist | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2014-08-14 |
| 1942565130 | Joshua James Blevins | Occupational Therapist | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2012-07-12 |
| 1265744684 | Shannon Rene Paitsell Johnson | Physical Therapist | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2010-07-14 |
| 1619292109 | Nathan C Hill | Physician Assistant | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2010-03-29 |
| 1376878272 | Anthony W Vance | Physical Therapist | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2009-10-09 |
| 1528295508 | Rolando Chacon | Physical Therapist | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2009-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386797 | Mayla Chung | Physician Assistant | 188 Players Ridge Rd, Hickory, NC 28601-8815 | 2020-08-12 |
| 1871128512 | Trina Blair Dale | Physician Assistant | 844 Highland Ave Se, Hickory, NC 28602-1111 | 2020-03-03 |
| 1841823572 | Francesca Shrout | Physician Assistant | 1221 10th Street Blvd Nw, Hickory, NC 28601-2384 | 2020-02-21 |
| 1083274575 | Morgan Kelsey Edwards | Physician Assistant | 10 3rd Ave Ne Ste 500, Hickory, NC 28601-5055 | 2019-06-17 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1558711184 | Courtney Stump Browning | Physician Assistant | 212 29th Ave Ne Ste 1, Hickory, NC 28601-1085 | 2016-06-14 |
| 1487807772 | Jennifer Lynn Schnering | Physician Assistant | 1985 Tate Blvd Se Ste 600, Hickory, NC 28602-1433 | 2008-10-30 |
| 1578634648 | Cornerstone Treatment Center Pa | Physician Assistant | 11 9th Ave Ne, Hickory, NC 28601-3739 | 2006-11-12 |
| 1912005224 | Helen S Martin | Physician Assistant | 4213 Windsor Ct, Hickory, NC 28602-8985 | 2006-09-20 |
| 1770694440 | Kathy Margaret Rudisill II | Physician Assistant | 731 5th St Sw, Hickory, NC 28602-3235 | 2006-08-31 |
| Find all providers in HICKORY | ||||
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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.