MRS. MANDESA MALIKA SMITH CNM
NPI 1083099568
Advanced Practice Midwife in Lumberton, NC

Active since July 24, 2015PECOS EnrolledAccepts Medicare Assignment
4300 FAYETTEVILLE RD, LUMBERTON, NC 28358(910) 608-3078(910) 608-3079 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2024, Nov 3, 2020, May 17, 2018 (3 updates tracked since 2018).

About Mrs. Mandesa Malika Smith Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MANDESA MALIKA SMITH CNM (NPI 1083099568) is an individual advanced practice midwife in Lumberton, North Carolina, licensed in North Carolina (249148) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083099568
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMRS. MANDESA MALIKA SMITHCredential: CNM
Location Address4300 FAYETTEVILLE RDLumberton, NC 28358
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490
Fax(910) 608-3079
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 24, 2015
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1083099568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses Licensed in NC · 249148 Licensed in NC · 573
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License 249148 (NC)
4300 FAYETTEVILLE RD, Lumberton, NC 28358

Secondary Practice Locations 3

Location 11341 Walter Reed RdFayetteville, NC 28304-4415 · Phone (910) 615-3500 · Fax (910) 615-3560
Location 21638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-3500 · Fax (910) 615-3560
Location 31201 Walter Reed RdFayetteville, NC 28304-4437 · Phone (910) 609-3840 · Fax (910) 615-9665

Other Identifiers 1

Other573NC · License Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mandesa Malika Smith Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032465836
PECOS Enrollment IDI20180710000878
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4300 FAYETTEVILLE RD
LUMBERTON, NC 28358
Dietitian, Registered
4300 FAYETTEVILLE RD
LUMBERTON, NC 28358
Clinic/Center
4300 FAYETTEVILLE RD
LUMBERTON, NC 28358

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandesa Smith's NPI number?

The NPI number for Mandesa Smith is 1083099568. It was assigned to this individual provider in the NPPES registry on July 24, 2015.

Where is Mandesa Smith located?

Mandesa Smith practices at 4300 Fayetteville Rd, Lumberton, NC 28358. The listed phone number is (910) 608-3078.

What is Mandesa Smith's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Mandesa Smith enrolled in Medicare?

Yes. Mandesa Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mandesa Smith accept?

Health plans from Blue Cross and Blue Shield of NC list Mandesa Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mandesa Smith was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.