Healthcare Provider Details

I. General information

NPI: 1992664106
Provider Name (Legal Business Name): RALEY LAYNE SMITH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 W ANDREW JOHNSON HWY
MORRISTOWN TN
37814-3276
US

IV. Provider business mailing address

6826 TICE LN
KNOXVILLE TN
37918-5240
US

V. Phone/Fax

Practice location:
  • Phone: 423-869-3611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number7062
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: