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RAYMOND SHANE SMITH PA-C
NPI 1104006592
Physician Assistant in Johnson City, TN

Active since November 14, 2007PECOS Enrolled
410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 37604(423) 431-2477(423) 431-2478 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raymond Shane Smith Pa-c NPPES

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

RAYMOND SHANE SMITH PA-C (NPI 1104006592) is an individual physician assistant in Johnson City, Tennessee, licensed in Tennessee (2338) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104006592
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRAYMOND SHANE SMITHCredential: PA-C
Location Address410 N STATE OF FRANKLIN RD, SUITE 130Johnson City, TN 37604-6971
Mailing Address410 N State Of Franklin Rd, Suite 130Johnson City, TN 37604-6971 · (423) 431-2477 · Fax (423) 431-2478
Phone(423) 431-2477
Fax(423) 431-2478
Sole ProprietorYes
Enumeration DateNovember 14, 2007
Last NPPES UpdateFebruary 23, 2017
✔ NPI 1104006592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 2338
Definition
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.
410 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Identifiers 5

Medicaid1104006592VA
Medicaid1104006592NC
Medicare PIN103I977623TN
Medicare UPIN3709285TN
MedicaidQ002626TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raymond Shane Smith Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 18

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Neurological Surgery
410 N STATE OF FRANKLIN RD, SUITE 120
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
410 N STATE OF FRANKLIN RD, SUITE 135B
JOHNSON CITY, TN 37604
Washington County (423) 431-4866
DR. MELISSA A POWELL M.D.
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Surgery (Trauma Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MR. TED ALLAN WHITE ANP-BC
Nurse Practitioner (Adult Health)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ANITA DIANE COBBLE MD
Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MR. TANZID SHAMS M.D.
Psychiatry & Neurology (Neurology)
410 N STATE OF FRANKLIN RD, SUITE 135
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
DR. BRANDON GREEN DO
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477

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 Raymond Smith's NPI number?

The NPI number for Raymond Smith is 1104006592. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Raymond Smith located?

Raymond Smith practices at 410 N State Of Franklin Rd Suite 130, Johnson City, TN 37604. The listed phone number is (423) 431-2477.

What is Raymond Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Raymond Smith enrolled in Medicare?

Yes. Raymond Smith is registered in the Medicare PECOS enrollment system.

What insurance does Raymond Smith accept?

Health plans from BlueCross BlueShield of Tennessee list Raymond 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 Raymond Smith was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.