TARA SMITH
NPI 1962861096
Physician Assistant - Medical in Vienna, VA

Active since February 17, 2016PECOS EnrolledAccepts Medicare Assignment
8233 OLD COURTHOUSE RD STE 170, VIENNA, VA 22182(703) 556-9318 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Smith NPPES

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

TARA SMITH (NPI 1962861096) is an individual medical provider in Vienna, Virginia, licensed in Virginia (0110005062) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962861096
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTARA SMITH
Location Address8233 OLD COURTHOUSE RD STE 170Vienna, VA 22182-3833
Mailing Address8233 Old Courthouse Rd Ste 170Vienna, VA 22182-3833
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 17, 2016
NPI 1962861096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in VA · 0110005062
8233 OLD COURTHOUSE RD STE 170, Vienna, VA 22182

Other Names 1

Other Name (5)Tara Wilds

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

Tara 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 ID2264719210
PECOS Enrollment IDI20170501001828
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.

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 Tara Smith's NPI number?

The NPI number for Tara Smith is 1962861096. It was assigned to this individual provider in the NPPES registry on February 17, 2016. The provider is also known as Tara Wilds.

Where is Tara Smith located?

Tara Smith practices at 8233 Old Courthouse Rd Ste 170, Vienna, VA 22182. The listed phone number is (703) 556-9318.

What is Tara Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tara Smith enrolled in Medicare?

Yes. Tara 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.

When was this NPI record last updated?

The NPPES record for Tara Smith was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.