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CHARLESTON HOUSE GYNECOLOGY
NPI 1558826933
Obstetrics & Gynecology - Gynecology in Dallas, TX

Active since February 09, 2019CLIA 45D2164912 · Waiver
3611 SWISS AVE STE 201, DALLAS, TX 75204(214) 477-9239 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2019, Feb 9, 2019 (2 updates tracked since 2019).

About Charleston House Gynecology NPPES

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

CHARLESTON HOUSE GYNECOLOGY (NPI 1558826933) is a healthcare organization registered as a gynecology in Dallas, Texas and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Kamilia Tagi Smith, Physician/practice Owner, as its authorized official.

NPPES Registry Identity

NPI1558826933
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameKAMILIA TAGI SMITH MD PLLC
Location Address3611 SWISS AVE STE 201Dallas, TX 75204-6245
Mailing Address3611 Swiss Ave Ste 201Dallas, TX 75204-6245 · (214) 821-3313 · Fax (214) 247-1160
Phone(214) 477-9239
Organization SubpartNo
Authorized OfficialKamilia Tagi SmithPhysician/practice Owner · (214) 477-9239
Enumeration DateFebruary 9, 2019
Last NPPES UpdateApril 9, 20192 updates tracked since enumeration
✔ NPI 1558826933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
3611 SWISS AVE STE 201, Dallas, TX 75204
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Other Names 1

Doing Business AsCharleston House Gynecology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2164912

Kamilia Smith MD, PLLC · Dallas, TX
Active · expires Apr 15, 2027
CLIA Number45D2164912
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorKamilia S. Smith
Laboratory Phone(214) 821-3313
Laboratory LocationKamilia Smith MD, PLLC3611 Swiss Ave Suite 201, Dallas, TX 75204
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. KAMILIA SABBAGH TAGI SMITH M.D.
Obstetrics & Gynecology
3611 SWISS AVE STE 201
DALLAS, TX 75204
Dallas County (214) 821-3313

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 Kamilia Tagi Smith MD PLLC's NPI number?

The NPI number for Kamilia Tagi Smith MD PLLC is 1558826933. It was assigned to this organization in the NPPES registry on February 9, 2019. The provider is doing business as Charleston House Gynecology.

Where is Kamilia Tagi Smith MD PLLC located?

Kamilia Tagi Smith MD PLLC is located at 3611 Swiss Ave Ste 201, Dallas, TX 75204. The listed phone number is (214) 477-9239.

What is Kamilia Tagi Smith MD PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Kamilia Tagi Smith MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2164912) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kamilia Tagi Smith MD PLLC was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.