MR. TRACEY LEE SMITH (NPI# 1790107357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790107357 |
| Entity Type | Individual |
| Full Name | MR. TRACEY LEE SMITH |
| Credential | PA-C |
| Practice Address |
1970-c West Arlington Blvd Greenville NC 27837-5783 |
| Mailing Address |
7780 Brier Creek Parkway Suite 200 Raleigh NC 27617-7869 |
| Practice Telephone | 2523171195 |
| Practice Fax Number | 9193171111 |
| Mailing Telephone | 9195963400 |
| Mailing Fax Number | 9195963499 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0090-01776 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948572 | Tracey Smith | Technician | 234 Jefferson St Nw, Washington, DC 20011-6630 | 2019-12-02 |
| 1417512039 | Tracey Denise Smith | Nurse Practitioner | 12453 Charlotte St, Kansas City, MO 64146-1310 | 2019-05-08 |
| 1144711938 | Tracey Simone Smith | Registered Nurse | 228 Logan St Fl 1a, Brooklyn, NY 11208-1965 | 2018-05-29 |
| 1851759914 | Tracey Lyn Smith | Driver | 1212 Faussett Rd, Howell, MI 48855-7205 | 2016-02-04 |
| 1386989226 | Tracey A Smith | Licensed Practical Nurse | 1210 15th St Ne, Canton, OH 44705-1208 | 2012-12-04 |
| 1356470751 | Tracey Lynn Smith | Physical Therapist | 167 Smith Rd, Lake Ronkonkoma, NY 11779-2213 | 2007-03-04 |
| 1295385706 | Tracey Ann Smith | Speech-Language Pathologist | 6101 N State Line Ave, Texarkana, TX 75503-5309 | 2019-09-17 |
| 1427513324 | Tracey Smith | Physician Assistant | 1107 Eaton Ave, Bethlehem, PA 18018-1862 | 2019-02-05 |
| 1720582174 | Tracey Jean Smith | Technician, Pathology | 710 N Main St, Clinton, TN 37716-3143 | 2018-03-21 |
| 1821505652 | Tracey Smith | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2018-01-02 |
| Street Address |
1970-C WEST ARLINGTON BLVD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27837-5783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424917 | Greene County Health Care Incorporated | Clinic/Center | 550 River Street, Grimesland, NC 27837 | 2005-08-11 |
| 1902352123 | Life Primary Care Clinic, Pllc | Nurse Practitioner | 550 River Street, Grimesland, NC 27837 | 2016-08-28 |
| 1508138199 | Kimberly Dawn Ennis | Social Worker | 513 Lancelot Street, Grimesland, NC 27837-0567 | 2012-01-30 |
| 1609204585 | Charley Tyre | Nurse Practitioner | 2627 Winding Cv, Grimesland, NC 27837-8612 | 2013-10-31 |
| 1467078907 | Morgan Sutton | Student in an Organized Health Care Education/Training Program | 221 Tripp Trl, Grimesland, NC 27837-8701 | 2020-06-21 |
| 1598108664 | George Brian Harris | Counselor | 2812 Mobleys Bridge Rd, Grimesland, NC 27837-8832 | 2013-04-09 |
| 1396912986 | Diane K. Bradshaw | Counselor | 367 Great Forest Rd, Grimesland, NC 27837-9049 | 2008-05-13 |
| 1265621049 | Life Options | Health Maintenance Organization | 4743 Ariel Dr, Grimesland, NC 27837-9107 | 2007-10-17 |
| 1942504428 | Robersonville Psychosocial Rehabilitation LLC | Community/Behavioral Health | 3709 Barton Way, Grimesland, NC 27837-9159 | 2010-12-27 |
| 1275917924 | 3s Therapy, P.C. | Speech-Language Pathologist | 3116 Juniper Branch Dr, Grimesland, NC 27837-9167 | 2015-07-13 |
| Find all providers in zip 27837 | ||||
| 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 |
|---|---|---|---|---|
| 1053924977 | Caitlyn N Jetter | Physician Assistant | 7238 N State Route 49, Greenville, OH 45331-8302 | 2020-08-29 |
| 1720618291 | Kaitlin Stover | Physician Assistant | 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 | 2020-01-23 |
| 1962044321 | Tyler Robert Tefft | Physician Assistant | 25 Draper St Apt 129, Greenville, SC 29611-4786 | 2019-10-17 |
| 1780157842 | Briana Welch Denton | Physician Assistant | 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 | 2019-01-10 |
| 1548732027 | Jennifer Pedersen | Physician Assistant | 14314 Canter Trl, Greenville, SC 29609-0964 | 2018-12-21 |
| 1972089092 | Sarah Eileen Mann | Physician Assistant | 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 | 2018-07-11 |
| 1134588478 | Sarah Roeser | Physician Assistant | 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 | 2016-02-15 |
| 1992177760 | Robert Chapman | Physician Assistant | 126 Milestone Way, Greenville, SC 29615-5065 | 2015-10-20 |
| 1497137756 | Alexandra Brooks | Physician Assistant | 2706 Aileen St Ste B, Greenville, TX 75402-6486 | 2015-06-23 |
| 1558776633 | David Jonathan Cutter | Physician Assistant | 1202 W Oak St Ste 200, Greenville, MI 48838-2155 | 2014-06-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27837 |
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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.