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

Stacie Renee Smith, PA

Individual provider Medical Physician Assistant · NPI 1619128360

Stacie Renee Smith, PA is a Physician Assistant in Little Rock, Arkansas. Qualified in 2008, 18 years ago. Practices with Virginia Garcia Memorial Health Center, a 88-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
18
Licensed in
AR
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone: (501) 712-2571
Fax: (501) 404-7789
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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 PA-359 (AR)

Record details

NPI number1619128360
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Virginia Garcia Memorial Health Center — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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