MRS. CAROLYN NICOLE SMITH (NPI# 1811056831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811056831 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN NICOLE SMITH |
| Other Name | MS. CAROLYN NICOLE HOLMES |
| Credential | PA-C |
| Practice Address |
4278 Ladson Rd Ladson SC 29456-5452 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8432032240 |
| Practice Fax Number | 8432032241 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2121 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 2782PA | 05 | |
| GA | 510115972A | 05 | |
| GA | AMERIGROUP | 01182369 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889773 | Carolyn Dianne Smith | Technician | 14077 Felton Rd, Gulfport, MS 39503-5131 | 2019-09-06 |
| 1225521917 | Carolyn Ann Smith | Home Health Aide | 13755 New Halls Ferry Rd, Florissant, MO 63033-3028 | 2018-06-07 |
| 1164911079 | Carolyn J Smith | Behavior Technician | 306 S Mason St, Bensenville, IL 60106-2682 | 2018-05-07 |
| 1174062319 | Carolyn Diane Smith | Registered Nurse | 2305 Springhill Ln, Lindenhurst, IL 60046-8326 | 2017-02-21 |
| 1538539580 | Carolyn Smith | Counselor | 13919 Carrollwood Village Run, Tampa, FL 33618-2746 | 2015-10-02 |
| 1649657230 | Carolyn Marian Smith | Nurse Practitioner | 1000 Morris Ave # Dn-126a, Union, NJ 07083-7133 | 2015-05-03 |
| 1962646786 | Carolyn Marion Smith | Clinic/Center | 3620 N Lauren Ln, Bloomington, IN 47404-9206 | 2009-04-23 |
| 1124226824 | Carolyn M Smith | Pharmacist | 43 Sabin St Quad Bldg Rm Qe 213, Charleston, SC 29245 | 2007-07-05 |
| 1750585063 | Carolyn R Smith | Nurse Practitioner | 326 South Side Road, Bee Branch, AR 72013-9137 | 2007-06-12 |
| 1154538460 | Carolyn Smith | Case Manager/Care Coordinator | 1500 Kanakanak Road, Dillingham, AK 99576-0310 | 2007-05-17 |
| Street Address |
4278 LADSON RD |
| City | LADSON |
| State | SC |
| Zip Code | 29456-5452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033100383 | Patrick Norris Grover | Family Medicine | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2005-11-03 |
| 1194202788 | Anne Mardel Mcdaniel | Nurse Practitioner | 4278 Ladson Rd, Ladson, SC 29456 | 2018-07-26 |
| 1366961872 | Tad C Schrader | Physician Assistant | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2017-09-15 |
| 1861926735 | Jessica Lynn Burke | Nurse Practitioner | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2017-04-17 |
| 1346794088 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2016-08-11 |
| 1023460680 | Karen Jean Byrd | Physician Assistant | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2016-07-07 |
| 1538510169 | Roper Saint Francis Physicians Network | Internal Medicine | 4278 Ladson Rd, Ladson, SC 29456 | 2016-06-24 |
| 1356799282 | Sandra Afrifah | Nurse Practitioner | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2016-06-01 |
| 1194181693 | Elizabeth Bilancione | Nurse Practitioner | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2016-01-13 |
| 1174997274 | Roper Saint Francis Physicians Network | Podiatrist | 4278 Ladson Rd, Ladson, SC 29456 | 2015-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159248 | Ingleside Family Dental, LLC | Dentist | 9403 Highway 78, Suite 201, Ladson, SC 29456 | 2020-03-20 |
| 1598231359 | Destiny Jenay Adkins | Specialist/Technologist | 9525 Highway 78 Apartment 400-207, Ladson, SC 29456 | 2018-10-19 |
| 1477049484 | Adebambo Adesanya | Driver | 1008 Turtle Dove Ln, Ladson, SC 29456 | 2018-07-03 |
| 1184117327 | Lauren Elizabeth Bradley | Speech-Language Pathologist | 9565 Hwy 78, Bldg. 700, Ste. 102, Ladson, SC 29456 | 2018-06-12 |
| 1205348067 | Samantha Marie Grimes | Speech-Language Pathologist | 9565 Highway 78 Bldg 102, Ladson, SC 29456 | 2017-11-01 |
| 1699295915 | Sara Paige Gagnier | Occupational Therapist | 9565 Hwy 78 Bldg 700 Ste 102, Ladson, SC 29456 | 2017-06-27 |
| 1467982728 | Heritage Dental LLC | Clinic/Center | 9598 Palmetto Commerce Parkway, Ladson, SC 29456 | 2017-06-19 |
| 1013384239 | Zachary Jordan | Pharmacist | 3685 Ladson Rd., Ladson, SC 29456 | 2015-08-24 |
| 1831534676 | Tracie Jo Horton | Registered Nurse | 3321 Ladson Rd., Ladson, SC 29456 | 2013-05-07 |
| 1972859684 | Nicole Marie Hall | Physical Therapist | 4340 Ladson Rd Ste B, Ladson, SC 29456 | 2012-07-31 |
| Find all providers in zip 29456 | ||||
| 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 |
|---|---|---|---|---|
| 1528516655 | Alexa Ferry | Physician Assistant | 9565 Highway 78 Bldg 400, Ladson, SC 29456-4118 | 2016-09-19 |
| 1366961872 | Tad C Schrader | Physician Assistant | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2017-09-15 |
| 1023460680 | Karen Jean Byrd | Physician Assistant | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770712 | Hannah Jenkins | Physician Assistant | 780 Windrow Dr, Sumter, SC 29150-5318 | 2020-11-04 |
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1538768098 | Hristos Stamatopoulos | Physician Assistant | 149 Independent Ln, Walterboro, SC 29488-6218 | 2020-10-25 |
| 1053910596 | Sarah Xiao Jing Jarema | Physician Assistant | 1211 Hadley Cir Unit 4301, Myrtle Beach, SC 29577-8219 | 2020-10-24 |
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1487252367 | Hannah Beddingfield | Physician Assistant | 200 Drury Ln, Mauldin, SC 29662-2228 | 2020-10-13 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1790383719 | Kaytlin Blake Hollingsworth | Physician Assistant | 2774 Shadow Ln, North Charleston, SC 29406-9065 | 2020-10-12 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1144836461 | Michael Joseph Haven | Physician Assistant | 221 Bayfront Dr Unit 224, Mount Pleasant, SC 29464-1825 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. CAROLYN NICOLE SMITH.
| 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.