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

Samuel David Smith, PA-C

Individual provider Physician Assistant · NPI 1184346280

Samuel David Smith, PA-C is a Physician Assistant in Llano, Texas. Qualified in 2022, 4 years ago. Practices with Clear Creek Dermatology, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

904 Ford St
Llano, TX 78643-2345
Phone: (830) 953-1700
Fax: (830) 953-1717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (TX)
Physician Assistant Taxonomy 363A00000X (TX)

Record details

NPI number1184346280
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2022
Last updated in NPPESSeptember 11, 2024
Certification dateAugust 27, 2024
Mailing address904 Ford St, Llano, TX 78643-2345

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Clear Creek Dermatology — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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