=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275663593
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARLA RENE SMITH MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2007
-----------------------------------------------------
Last Update Date | 08/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1580 SKEET CLUB RD
-----------------------------------------------------
City | HIGH POINT
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27265-9530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-883-0029
-----------------------------------------------------
Fax | 336-883-0867
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 645 N MAIN ST
-----------------------------------------------------
City | HIGH POINT
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27260-5017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-883-0029
-----------------------------------------------------
Fax | 336-883-0867
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208VP0000X
-----------------------------------------------------
Taxonomy Name | Pain Medicine Physician
-----------------------------------------------------
License Number | 200200805
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 200200805
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------