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

Raymond Shane Smith, PA-C

Individual provider Physician Assistant · NPI 1104006592

Raymond Shane Smith, PA-C is a Physician Assistant in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2007
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

410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6971
Phone: (423) 431-2477
Fax: (423) 431-2478
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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 2338 (TN)

Record details

NPI number1104006592
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 14, 2007
Last updated in NPPESFebruary 23, 2017

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