MEDICARE: ANN MARIE SMITH PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	6990	TN

General Provider Information

NPI Number	:	1770430753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARIE SMITH PA-C

Provider Business Mailing Address
First Line	:	461 POND CREEK RD
Second Line	:
City	:	SWEETWATER
State	:	TN
Zip	:	37874-5207
Country	:	US
Telephone Number	:	423-836-1196
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0005
Country	:	US
Telephone Number	:	615-936-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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