Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Evan Gregory Smith

Individual provider Medical Physician Assistant · NPI 1891090577

Evan Gregory Smith is a Physician Assistant in Lackland A F B, Texas. Graduated from University of Nebraska College of Medicine in 2011, 15 years ago. Practices with Age Management of West Michigan PC, a 23-clinician group and accepts Medicare assignment.

Years since qualifying
15
Trained at
University of Nebraska College of Medicine
In the registry since
2011
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Practice location Address checks out

2200 Bergquist Dr
Lackland A F B, TX 78236-9907 Not confirmed with CMS for 13 years — call before visiting
Phone: (210) 292-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1891090577
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 11, 2011
Last updated in NPPESApril 8, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Age Management Of West Michigan Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Spectrum Health Hospital · Grand Rapids, MI · listed as Spectrum Health Hospital

Colleagues at Age Management of West Michigan PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 23 clinicians in the practice; 12 are shown here.