Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JOE SMITH JR. PA C
NPI 1154394773
Physician Assistant in Fort Bragg, NC

Q: What is Joe Smith's NPI number?

The NPI number for Joe Smith is 1154394773. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Joe Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joe Smith was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.

Active since February 13, 2006

2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310(910) 907-8922(910) 907-6069 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Joe Smith Jr. Pa C NPPES

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

MR. JOE SMITH JR. PA C (NPI 1154394773) is an individual physician assistant in Fort Bragg, North Carolina, licensed in North Carolina (1000190) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1154394773

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JOE SMITH JR.Credential: PA C

Location Address2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTERFort Bragg, NC 28310

Mailing Address2817 Reilly Road Mcxc Cod Credentials, Womack Army Medical CenterFort Bragg, NC 28310 · (910) 907-8922 · Fax (910) 907-6069

Phone(910) 907-8922

Fax(910) 907-6069

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1154394773 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 NC · 1000190

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.

2817 REILLY ROAD MCXC COD CREDENTIALS, Fort Bragg, NC 28310

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