Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104006592 Individual Practitioner Male Practitioner

Raymond Shane Smith , PA-C

Physician Assistant • Johnson City, TN

Professional Overview & Biography Verified Profile Summary

Raymond Smith, PA-C is a registered healthcare professional specializing in Physician Assistant in Johnson City, TN. Practice services are available at 410 N STATE OF FRANKLIN RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

410 N State Of Franklin Rd
Suite 130

Johnson City, TN 376046971

Telephone 4234312477
Fax 4234312478
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Johnson City, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
99 Specialists

Practicing in Johnson City, TN (3096 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
13 12 $162.92 $59.69

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 2338

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1104006592 (NC)
Medicaid State Provider ID
Q002626 (TN)
Medicaid State Provider ID
1104006592 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Melissa Powell , MD

Surgery - Surgical Critical Care

NPI 1053407809

Doctor of Medicine (M.D.)

Ramin Behmand

Plastic Surgery

NPI 1124129218
Ted White , ANP-BC

Nurse Practitioner - Adult Health

NPI 1134497787

ANPBC

Dr. Ryan Landis , MD

Surgery - Surgical Critical Care

NPI 1144665845

Doctor of Medicine (M.D.)

Stephen Steffey , PA

Physician Assistant

NPI 1174932107

Physician Assistant

NPI 1225021454

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2017

Registered at 410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 376046971 (Tel: 4234312477)

📍
Updated Business Mailing Address February 23, 2017

Registered at 410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 376046971 (Tel: 4234312477)

👤
Provider Name / Credentials Updated February 23, 2017

Recorded as RAYMOND SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

Physician Assistant (License #2338 in TN)

NPI Profile Active August 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2015

Registered at 408 N STATE OF FRANKLIN RD, SUITE 31, JOHNSON CITY, TN 376046089 (Tel: 4234312477)

📍
Updated Business Mailing Address August 19, 2015

Registered at PO BOX 3700, JOHNSON CITY, TN 376023700 (Tel: 4239522122)

👤
Provider Name / Credentials Updated August 19, 2015

Recorded as RAYMOND SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2015

Physician Assistant (License #2338 in TN)

🟢
Initial NPI Registration & Enumeration November 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104006592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2007
Last Update: February 23, 2017
Sole Proprietor: Yes

Mailing Address

410 N State Of Franklin Rd, Suite 130

Johnson City, TN 376046971

Phone: 4234312477

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.