Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daphene Smith, PA

Individual provider Surgical Physician Assistant · NPI 1497869689

Daphene Smith, PA is a Physician Assistant in McDonough, Georgia. Qualified in 2006, 20 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Illinois and Missouri.

Years since qualifying
20
Licensed in
GA, IL, MO
In the registry since
2006
Specialties on file
5
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

101 Regency Park Dr Ste 110
McDonough, GA 30253-7076
Phone: (404) 996-0126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1835 Kingshighway, East Saint Louis, IL 62204-2135 — (618) 482-7922

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009234 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085002952 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 085-002952 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2008018559 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085002952 (IL)

Record details

NPI number1497869689
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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