Erica Kellyn Smith, PA-C, ATC
Erica Kellyn Smith, PA-C, ATC is a Physician Assistant in Vicksburg, Mississippi. Qualified in 2023, 3 years ago. Practices with Vicksburg Clinic LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 3
- Licensed in
- MS
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
2100 Highway 61 NVicksburg, MS 39183-8211
Phone: (601) 883-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA00777 (MS) |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence PA00777 (MS) |
Record details
| NPI number | 1477013456 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C , ATC |
| Sole proprietor | No |
| NPI enumerated | March 25, 2019 |
| Last updated in NPPES | February 20, 2024 |
| Certification date | February 20, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Vicksburg Clinic Llc — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Vicksburg
-
Daniel P Dare, MD
2080 S Frontage Rd Ste 113, Vicksburg, MS 39180-5328 · (601) 636-1219
-
William C Porter Jr., MD
2100 Highway 61 N, Vicksburg, MS 39183-8211 · (601) 883-5000
-
Christopher Cody Tipton, MD
2100 Highway 61 N, Vicksburg, MS 39183-8211 · (601) 883-3553