Amy Ann Smith, PA-C

Physician Assistant · Decatur, IL

Individual Active NPI

NPI number 1174875223

Practice location

550 Southland Dr
Decatur, IL 62521-4080
Phone
(217) 425-9264
Fax
(217) 425-5983

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NPI record

NPI
1174875223
Entity type
Individual (Type 1)
Enumeration date
October 12, 2012
Last updated
January 13, 2023
Certified
January 13, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085005048 IL
Medical Physician Assistant 363AM0700X 085005048 IL
Medical Physician Assistant 363AM0700X 5214 AZ

Mailing address

2300 N Edward St
Gsbll
Decatur, IL 62526-4163
Phone
(217) 876-2857
Fax
(217) 876-2874

About Amy Smith

Amy Ann Smith, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 550 Southland Dr, Decatur, IL 62521-4080. The NPI number 1174875223 was assigned on October 12, 2012 and the record was last updated on January 13, 2023.

Amy Smith lists 3 licenses in the registry: #085005048 (IL) for Physician Assistant; #085005048 (IL) for Medical Physician Assistant; #5214 (AZ) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amy Ann Smith, PA-C?

The NPI number is 1174875223.

What is the phone number of Amy Smith?

The phone number listed for the practice location is (217) 425-9264.

Where is Amy Smith located?

550 Southland Dr, Decatur, IL 62521-4080.

What is the taxonomy code for Amy Smith?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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