MR. MARK THOMAS SMITH PA-C
NPI 1235322181
Physician Assistant - Medical in Lake City, TN

Q: What is Mark Smith's NPI number?

The NPI number for Mark Smith is 1235322181. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Q: What is Mark Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mark Smith was last updated on August 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 23, 2007

106 CREEK ST, LAKE CITY, TN 37769(865) 426-2186(865) 426-9200 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Mark Thomas Smith Pa-c NPPES

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

MR. MARK THOMAS SMITH PA-C (NPI 1235322181) is an individual medical provider in Lake City, Tennessee, licensed in Tennessee (1001) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1235322181

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MARK THOMAS SMITHCredential: PA-C

Location Address106 CREEK STLake City, TN 37769

Mailing Address134 Field Stone DrAndersonville, TN 37705-3336 · (865) 300-8084 · Fax (865) 381-0533

Phone(865) 426-2186

Fax(865) 426-9200

Sole ProprietorYes

Enumeration DateAugust 23, 2007

✔ NPI 1235322181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · 1001

106 CREEK ST, Lake City, TN 37769

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Other Identifiers 1

Medicare UPINP81833TN

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.

MARKS PHARMACY

Pharmacy (Community/Retail Pharmacy)

106 CREEK ST
LAKE CITY, TN 37769

Anderson County (865) 426-2186

MARKS PHARMACY

Durable Medical Equipment & Medical Supplies

106 CREEK ST
LAKE CITY, TN 37769

Anderson County (865) 426-2186

WENDY BRADEN MILLER NP-C

Nurse Practitioner

106 CREEK ST
LAKE CITY, TN 37769

Anderson County (865) 426-8061

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 Mark Smith's NPI number?

The NPI number for Mark Smith is 1235322181. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Mark Smith located?

Mark Smith practices at 106 Creek St, Lake City, TN 37769. The listed phone number is (865) 426-2186.

What is Mark Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mark Smith was last updated on August 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.