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

Shannon Marie Smothers, PA-C

Individual provider Medical Physician Assistant · NPI 1639428147

Shannon Marie Smothers, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2011, 15 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2012
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

3434 Swiss Ave Ste 300
Dallas, TX 75204-6239
Phone: (972) 817-6930
Fax: (972) 817-6940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA07635 (TX)

Record details

NPI number1639428147
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 30, 2012
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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