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

Willie W Smith III, PA-C

Individual provider Physician Assistant · NPI 1902231830

Willie W Smith III, PA-C is a Physician Assistant in Ronceverte, West Virginia. Qualified in 2010, 16 years ago. Practices with Camc Greenbrier Valley Medical Center Inc, a 79-clinician group and works from 3 locations. Licensed in West Virginia.

Years since qualifying
16
Licensed in
WV
In the registry since
2013
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

1521 Maplewood Ave
Ronceverte, WV 24970-8026
Phone: (304) 647-5642
Fax: (304) 793-5643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 302 Carriage Dr, Beckley, WV 25801-2812 — (304) 647-5642
  • 1320 Maplewood Ave, Ronceverte, WV 24970-8016 — (304) 647-5642

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 01526 (WV)

Record details

NPI number1902231830
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2013
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Camc Greenbrier Valley Medical Center Inc — 79 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ronceverte