MR. DERRICK LAVON SMITH JR. PA-C
NPI 1972382661
Physician Assistant in Raleigh, NC
About Mr. Derrick Lavon Smith Jr. Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DERRICK LAVON SMITH JR. PA-C (NPI 1972382661) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-13504) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Sampson Regional Medical Center, and is a graduate of George Washington University School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Derrick Lavon Smith Jr. 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sampson Regional Medical Center
Acute Care Hospitals · Clinton, NCRex Hospital
Acute Care Hospitals · Raleigh, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RALEIGH, NC 27607
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 Derrick Smith's NPI number?
The NPI number for Derrick Smith is 1972382661. It was assigned to this individual provider in the NPPES registry on September 22, 2023.
Where is Derrick Smith located?
Derrick Smith practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3100.
What is Derrick Smith's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Derrick Smith enrolled in Medicare?
Yes. Derrick 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.
What insurance does Derrick Smith accept?
Health plans from Blue Cross and Blue Shield of NC list Derrick 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.
Is Derrick Smith affiliated with any hospitals?
According to CMS data, Derrick Smith is affiliated with Sampson Regional Medical Center and Rex Hospital.
When was this NPI record last updated?
The NPPES record for Derrick Smith was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Derrick Lavon Smith Jr., PA-C · NPI 1972382661
Physician Assistant physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since September 22, 2023.
## Identity
- **NPI:** 1972382661 (Entity type: Individual)
- **Enumerated:** September 22, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0010-13504 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4420 LAKE BOONE TRL, Raleigh, NC 27607-7505
- **Phone:** (919) 784-3100
## 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:** George Washington University School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** February 19, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1972382661) · Data from the CMS NPPES public registry.