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

Jacqueline B Smith, PA-C

Individual provider Surgical Physician Assistant · NPI 1437814563

Jacqueline B Smith, PA-C is a Physician Assistant in Wilmington, North Carolina. Qualified in 2021, 5 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and North Carolina.

Years since qualifying
5
Licensed in
FL, NC
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 667-2606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20 York St, New Haven, CT 06510-3220 — (203) 337-8507

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-16298 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence PA9118401 (FL)

Record details

NPI number1437814563
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wilmington