Healthcare Provider Details

I. General information

NPI: 1578414306
Provider Name (Legal Business Name): ASHLEY SMEYKAL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 S SUTHERLAND AVE
MONROE NC
28112-5060
US

IV. Provider business mailing address

330 PENNINGTON CENTRE BLVD APT 713
NASHVILLE TN
37214-3278
US

V. Phone/Fax

Practice location:
  • Phone: 704-291-9267
  • Fax:
Mailing address:
  • Phone: 610-955-9104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number7099
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: