1. Home
  2. Directory
  3. North Carolina
  4. Fayetteville
  5. Physician Assistant
  6. NPI Profile

MRS. BROOK SUCH SMITH
NPI 1790490167
Physician Assistant in Fayetteville, NC

Active since January 19, 2023PECOS Enrolled
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-4000 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2025, Jan 19, 2023 (2 updates tracked since 2023).

About Mrs. Brook Such Smith NPPES

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

MRS. BROOK SUCH SMITH (NPI 1790490167) is an individual physician assistant in Fayetteville, North Carolina and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1790490167
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. BROOK SUCH SMITH
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address1673 Cotten RdSanford, NC 27330-6982 · (919) 353-2687
Phone(910) 615-4000
Sole ProprietorNo
Enumeration DateJanuary 19, 2023
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1790490167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Location 1

Location 11841 Quiet CvFayetteville, NC 28304-3985 · Phone (910) 323-2626 · Fax (910) 484-7962

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Brook Such 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

HEATHER MCPHAIL COAXUM NP
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5680
CAPE FEAR VALLEY MEDICAL CENTER
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-7968
WENDY LYNN BROCK NNP
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5490
ABHISHEK GOEL MD
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3960
LAUREN WOHLRAB
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-5000
JINGCHUAN WANG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000
KENNETH RUSSELL MANNING M.D.
Internal Medicine (Medical Oncology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-6910
CUMBERLAND COUNTY HOSPITAL SYSTEM, INC
Surgery (Trauma Surgery)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-8000

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 Brook Smith's NPI number?

The NPI number for Brook Smith is 1790490167. It was assigned to this individual provider in the NPPES registry on January 19, 2023.

Where is Brook Smith located?

Brook Smith practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-4000.

What is Brook Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brook Smith enrolled in Medicare?

Yes. Brook Smith is registered in the Medicare PECOS enrollment system.

What insurance does Brook Smith accept?

Health plans from Blue Cross and Blue Shield of NC list Brook Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brook Smith was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.