MARK SAMUEL SMITH PA-C
NPI 1629321021
Physician Assistant in Abingdon, VA
About Mark Samuel Smith Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK SAMUEL SMITH PA-C (NPI 1629321021) is an individual physician assistant in Abingdon, Virginia, licensed in Virginia (0110004485) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Wythe County Community Hospital, and is a graduate of Lincoln Memorial University Medical Department (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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
Mark Samuel Smith Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wythe County Community Hospital
Acute Care Hospitals · Wytheville, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ABINGDON, VA 24211
ABINGDON, VA 24211
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 1629321021. It was assigned to this individual provider in the NPPES registry on October 23, 2012.
Where is Mark Smith located?
Mark Smith practices at 16000 Johnston Memorial Dr Fourth Floor, Abingdon, VA 24211. The listed phone number is (276) 258-4050.
What is Mark Smith's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mark Smith enrolled in Medicare?
Yes. Mark Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Mark Smith affiliated with any hospitals?
According to CMS data, Mark Smith is affiliated with Wythe County Community Hospital.
When was this NPI record last updated?
The NPPES record for Mark 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.
# Mark Samuel Smith, PA-C · NPI 1629321021
Physician Assistant physician in Abingdon, Virginia. Individual provider, active in the CMS NPPES registry since October 23, 2012.
## Identity
- **NPI:** 1629321021 (Entity type: Individual)
- **Enumerated:** October 23, 2012
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0110004485 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16000 JOHNSTON MEMORIAL DR, FOURTH FLOOR, Abingdon, VA 24211-7659
- **Phone:** (276) 258-4050 · **Fax:** (276) 258-4056
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Lincoln Memorial University Medical Department, class of 2012
## Record status
- **NPPES last updated:** February 23, 2017
- **Other identifiers:** Other P01334893 (VA); Medicaid Q000164 (TN); Medicare PIN VVC750A (VA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629321021) · Data from the CMS NPPES public registry.