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

Priscilla Waters Smith

Individual provider Physician Assistant · NPI 1225869068

Priscilla Waters Smith is a Physician Assistant in Smithfield, North Carolina. Qualified in 2024, 2 years ago. Practices with Mainstreet and Kidsstreet of North Carolina PLLC, a 76-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
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Practice location Address checks out

1202 N Brightleaf Blvd Ste C
Smithfield, NC 27577-4258
Phone: (919) 912-5006
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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 1221824 (NC)

Record details

NPI number1225869068
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address1500 1st Ave N Unit 3, Birmingham, AL 35203-1866

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mainstreet And Kidsstreet Of North Carolina Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Smithfield