DERYAN SMITH
NPI 1407599780
Emergency Medicine in Charlotte, NC

Q: What is Deryan Smith's NPI number?

The NPI number for Deryan Smith is 1407599780. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Q: What is Deryan Smith's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Deryan Smith was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 April 15, 2022PECOS EnrolledAccepts Medicare Assignment

1000 BLYTHE BLVD, MEB 3, CHARLOTTE, NC 28203(704) 355-2000 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Apr 15, 2022 (2 updates tracked since 2022).

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About Deryan Smith NPPES

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

DERYAN SMITH (NPI 1407599780) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (2025-01209) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and is a graduate of University Of Nevada School Of Medicine (2022).

NPPES Registry Identity

NPI1407599780

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDERYAN SMITH

Location Address1000 BLYTHE BLVD, MEB 3Charlotte, NC 28203

Mailing AddressPo Box 32861Charlotte, NC 28232-2861

Phone(704) 355-2000

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2022

Enumeration DateApril 15, 2022

Last NPPES UpdateJune 20, 20252 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1407599780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NC · 2025-01209

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1000 BLYTHE BLVD, Charlotte, NC 28203

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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

Deryan Smith 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 ID6901274901

PECOS Enrollment IDI20250818001514

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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 20

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

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)