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

Leann Nicole Smoot, PA-C

Individual provider Physician Assistant · NPI 1174930259

Leann Nicole Smoot, PA-C is a Physician Assistant in Germantown, Tennessee. Qualified in 2014, 12 years ago. Practices with Conrad Pearson Clinic PC, a 22-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
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

1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759
Phone: (901) 252-3400
Fax: (901) 763-4305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 125 Guthrie Dr, Southaven, MS 38671-5829 — (901) 252-3400
  • 3145 Players Club Pkwy, Memphis, TN 38125-8835 — (901) 252-3400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174930259
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2014
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Conrad Pearson Clinic Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Germantown