LANEY FOWLKES SMITH
NPI 1629889001
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Laney Smith's NPI number?

The NPI number for Laney Smith is 1629889001. It was assigned to this individual provider in the NPPES registry on January 15, 2025.

Q: What is Laney Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Laney Smith was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 15, 2025PECOS Enrolled

1025 MOREHEAD MEDICAL DR STE 300, CHARLOTTE, NC 28204(704) 446-2772(704) 355-2467 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2026, Apr 22, 2026, Mar 26, 2026 (3 updates tracked since 2026).

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About Laney Fowlkes Smith NPPES

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

LANEY FOWLKES SMITH (NPI 1629889001) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629889001

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLANEY FOWLKES SMITH

Location Address1025 MOREHEAD MEDICAL DR STE 300Charlotte, NC 28204-2966

Mailing Address1025 Morehead Medical Dr Ste 300Charlotte, NC 28204-2966 · (704) 446-2772 · Fax (704) 355-2467

Phone(704) 446-2772

Fax(704) 355-2467

Sole ProprietorNo

Enumeration DateJanuary 15, 2025

Last NPPES UpdateApril 27, 20263 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1629889001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1025 MOREHEAD MEDICAL DR STE 300, Charlotte, NC 28204

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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 (PECOS)

Laney Fowlkes Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

BENJAMIN JOHN AVERKAMP MD

Orthopaedic Surgery